Edison Chinese School – Course Registration

愛迪生中文學校線上註冊單 Edison Chinese School – Course Registration

家庭資訊 Family Information 家庭代碼 Family ID: (optional if new family / 新家庭可免填) Check Family ID here 若是新家庭請點選此處(需加100元押金) Check here if this is a new family (adds $100 Workbond. Will be waived if only register adult classes without registering any students) *定金將於您完成志工工作後，在五或六月時的理事選舉大會時退還
*Workbond will be returned to you after fullfiling your workbond duty during the school board-election meeting in May /June Please click here for workbond guidelines *請至少提供一個有效的電子郵件地址以接收學校的通訊、新聞、成人課程和學生家庭作業等通知事項
*Minimum one email address is required for receiving school communication, news, adult programs, student homework assignments, and so on…

母親/保護者資訊 Mother/Guardian Information 英文姓名 English Name (required): 中文姓名 Chinese Name: 電子郵件地址 Email (required): 電話號碼 Phone (required): 地址 Street Address (required):

城市 City (required): 州 State (required): 郵遞區號 Zip (required):

專長、才藝或興趣 Skills/Interests (multi-line, optional):

父親/保護者資訊 Father/Guardian Information (Optional) 英文姓名 English Name: 中文姓名 Chinese Name: 電子郵件地址 Email: 電話號碼 Phone: 地址 Street Address:

城市 City: 州 State: 郵遞區號 Zip:

專長、才藝或興趣 Skills/Interests (multi-line, optional):

家庭醫生 Family Physician 醫生姓名 Physician Name (required): 醫生電話 Physician Phone (required):

緊急聯絡人 Emergency Contact 聯絡人姓名 Contact Name (required): 聯絡人電話 Contact Phone (required):

學生註冊 Student Registration

Registering student #1

學生英文姓名 Student English Name (required): 學生中文姓名 Student Chinese Name: 出生年月日 Date of Birth (required): 性別 Sex (required): 年級(若您是成人，請選成人。若是畢業生，請填畢業生) Grade (If you are an adult, please enter "Adult". If you are a graduate, please enter "Graduate") (required): 此學生為成人或畢業生 This student is an adult or graduate (hides language course options and costs, and only shows cultural courses open to adults or graduates)

語言課 Language Course (optional): 語言課學費 Language Course Cost:

文化課 Cultural Course: 文化課學費 Cultural Course Cost: *填寫完成後請按下面按鈕紀錄資料。之後若需要註冊下一名學生，請按按鈕繼續。 Please click the button to record your entry. If you need to register for the next student, please click the button and continue.

Release of Liability & Photo Consent

To complete the registration, All Students and guardians must READ and SIGN the followings. For minors (age 18 or under), their legal parent/guardian must sign for them.

RELEASE OF LIABILITY STATEMENTS
In consideration of the activities at the John Adams Middle School, 1081 New Dover Rd., Edison, NJ, sponsored by Edison Chinese School, a nonprofit organization, it is hereby understood and agreed that said Edison Chinese School or its officers or faculty individually, will not be held liable for any injury or accident sustained the loss of or to property belonging to a member of school.

Photo Consent (required): Digital Signature (required):

退款規定 Refund Policy

If a student withdraws their registration before the start of the school year, a $50 handling fee will be charged. During the first three weeks of the school year, or during the first three weeks of enrollment, a 75% refund on tuition is available, but material costs are non-refundable. After the third week, no refunds will be issued.

若學生於 2027 開學前取消註冊，將收取 $50 的行政手續費。於開學後的前三週內，或入學後的前三週內，可退還學費的 75%，但教材費用恕不退還。第三週之後，恕不接受任何退款申請。

I have read and understand the Refund Policy stated above. / 本人已閱讀並理解上述退款規定。 (required)

註冊總結 Registration Summary

您的注冊單已完成。請記得下載，並以此註冊單繳交學費。註冊需在繳交學費後才完成。 Your registration form is ready. Please download and bring the form to pay your tuition. Please be advised that the registration is confirmed upon the tuition is paid.

📋 請記得下載註冊單，並以電郵寄到註冊組的電子郵件地址 Please download the registration form and mail to this email address: registration@njecs.org