Mandarin Class Enrolment

School Location: *

Child's Name: *

Child's DOB： *

Child's Sex

Child's Day School Name: *

Child's Grade Attended at Day Shool: *

Parent Name: *

Parent Mobile No.: *

Email *

I give permission for teachers to use the photograph/video of my children within Shine Chinese Community School and to promote the class?

to Insurance Child's

Does your child suffer from any medical condition/food allergies?

If answer above is yes, Please give the details:

Medical *

I agree to accept responsibility for costs incurred on my behalf in securing medical treatment and associated services for the above mentioned child requiring medical treatment or in the case of a medical emergency.

First aid *

Insurance *

I understand that Shine Chinese Community School does not provide automatic personal injury or liability insurance for student accidents which are inflicted by the students themselves.

Conditions *

Custom Captcha *

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