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ACES 2017-2018 Weekend Chinese Classes

Registration Form

Student's Mandarin Chinese Proficiency
Speaking* Listening* Reading* Writing*
Which textbook has your child used before?
Emergency Contacts and/or Authorized Pick-ups
  • I understand that I am not to leave my child at the ACES site unless there is a ACES staff member present.
  • I understand that my child will not be allowed to leave the program with an unauthorized person. Only adults (over 18 years old) can be authorized to pick up the child.
  • Authorization: In case of an emergency, I understand that every effort will be made to contact me. In the event that I cannot be reached, I hereby give permission to the physician selected by the adult leader in charge to secure proper medical services. I hereby release Austin Chinese Education Services and its staff and aides from all action that may arise from such medical services.
  • I understand and acknowledge that the ACES does not offer any medical insurance to protect against injuries, makes no claim to do so, and has no responsibility for any medical expenses incurred. I understand that each participant must assume the risk and any related financial responsibility that could result from participation in any of these activities. I agree to assume such risks and financial responsibility. I further understand that neither the ACES nor its workers can be held responsible in the event of an accident.
  • I understand that my child may be removed from ACES program for any of the following reasons:
  1. Failure to pay program fees by designated deadlines.
  2. Inappropriate behavior of a child/parent that endangers anyone involved with the ACES.
  3. Inappropriate behavior of students that disrupt the class, so that the class cannot function properly.
  • I authorize for my child(ren) to participate in the following activities when enrolled in ACES:
    1. View Chinese Children Cartoon series.
    2. Participate in photos or videos for ACES events.
Select the courses your kid(s) will attend

ACES
13581 Pond Springs Rd. Suite 200
Austin, TX 78729

Cancellation PolicyRefunds will be made if

  1. There is insufficient enrollment in a class ( less than 5 students)
  2. 100% refund for requesting in two weeks after a class starts
  3. 50% refund for requesting in seven weeks after a class starts
  4. No refund for requesting after a class starts for seven weeks 
By signing, I hereby acknowledge that I have read and understand this agreement, and agree to all the terms and conditions set forth above.
MM/DD/YYYY