RACL Fall Semester 2017 Registration Form http://www.racl.org Fall 2017 semester starts on Aug. 26, 2017, and ends on Dec. 16, 2017 I. Student Information Chinese Name

English Name

Date of Birth (mm/dd/yy)

Gender

Language Class

Activity Class

Home Address II. Parent/Guardian Information Father's or Guardian's

Father's or Guardian's

Chinese Name

English Name

Mother's or Guardian's

Mother's or Guardian's

Chinese Name

English Name

Home Phone #

Cell Phone #

E-Mail (required) III. Agreement: I, _____________________ (Please PRINT), as the parent/guardian of the above named student(s), hereby state that I have read and accepted the RACL Policies and RACL Rules for Students. Parent/Guardian Signature: ______________________________________________

Date: ______________________

IV. For RACL Registration Staff Only Language Class* Tuition (All Levels):

$190

Language Class Book & Material Fees  PreK - L10 ($15); Chinese SAT/AP ($110); CSL 4 ($85 – for new student only) Activity Class* Tuition**:  SAT English ($160), MathOlympicCompetition ($160); Computer Software ($240); Adult Zumba ($80); Others ($100) PTA Fee: per student per semester (Adult student has no PTA fee) $10 Late Fee (Applied after 9/9/17)

$25

Please make check payable to Raleigh Academy of Chinese Language, or RACL

Total

*Classes are subject to cancellation if enrollment is below prescribed minimums. ** Some activity classes may require additional fee for materials and will be handled individually by the instructor. Total

Check Number

Receiver

Date

- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -- - - - - - - - - - - - - -- - - - - - - - - - - - - -- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -

Raleigh Academy of Chinese Language (RACL) Fall 2017 Semester Receipt

Total

Check Number

Receiver

Date

RACL Fall Semester 2017 Registration Form http://www.racl.org

RACL Fall Semester 2017 Registration Form http://www.racl.org. Fall 2017 semester starts on Aug. 26, 2017, and ends on Dec. 16, 2017. I. Student Information.

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