Online Registration Form – 2019/2020

Please complete the form below – please contact us if you have any question in completing this form:

Student Information

First Name
Last Name
Chinese Name (Optional)
Birthday (MM/DD/YYYY)
Day School Grade (As of Sept 2019)
Day School Name
Allergies/Medical Condition (Type in "NONE" if nothing)

Home Address


Primary Contact Information

Contact Name

Phone Number


Emergency Contact Information

Contact Name

Phone Number

2019 September Enrichment Course Registration

Course 1
Course 2
Course 3

2019 Summer Camp (Weekly) - **4 years old and up**

Which week do you require? (Week of)
Jun 17Jun 24Jul 2Jul 8Jul 15Jul 22Jul 29Aug 6Aug 12Aug 19Aug 26

Meals (Hot Lunch + 2 Snacks) Required?
Extended Hour? (Max = 7:30a to 6pm; Standard Hour = 9am to 4pm)

2019 Summer Camp (Monthly) - **1.5 yrs to 4 yrs old**

Which month do you require?

Payment Method

How do you like to submit the payment?
Credit Card (@ School)ChequeEmail Money TransferCash
General Comment

Note: Once we receive your registration form and validated all information, we will Email you back the total amount outstanding.

Please note - by registering online do not guarantee placement into our program. Placement is only guaranteed once we accepted your full payment.