Begin Registration of Student #1

Student #1 學生姓名 *

First Last

Chinese Name 中文名

Enter Chinese Characters for name or if none leave blank. Try writing characters with
https://translate.google.com/ and copy back to this form.

Date of Birth 生日 *

MM / DD / YYYY

Age in September 九月份年歲 *

Choose Grade level in Public/Private School *

Is this a new NCS student? 新生 *

Yes

No

NCS will be in contact if new student.

Choose NCS class to register for Student #1 語文組/會話組 *

Choose an optional Extra-Curriculum Activity Program for Student #1 - 課外活動

Please select carefully, classes have age requirements.

Would you like to add Student #2

Yes

Begin Registration of Student #2

Student #2 學生姓名 *

First Last

Chinese Name 中文名

Enter Chinese Characters for name or if none leave blank. Try writing characters with
https://translate.google.com/ and copy back to this form.

Date of Birth 生日 *

MM / DD / YYYY

Age in September 九月份年歲 *

Choose Grade level in Public/Private School *

Is this a new NCS student? 新生 *

Yes

No

NCS will be in contact if new student.

Choose NCS class to register for Student #2 語文組/會話組 *

Choose an optional Extra-Curriculum Activity Program for Student #2 - 課外活動

Please select carefully, classes have age requirements.

Would you like to add Student #3 ($50 discount for 3rd child)

Yes

Begin Registration of Student #3

Student #3 學生姓名 *

First Last

Chinese Name 中文名

Enter Chinese Characters for name or if none leave blank. Try writing characters with
https://translate.google.com/ and copy back to this form.

Date of Birth 生日 *

MM / DD / YYYY

Age in September 九月份年歲 *

Choose Grade level in Public/Private School *

Is this a new NCS student? 新生 *

Yes

No

NCS will be in contact if new student.

Choose NCS class to register for Student #3 語文組/會話組 *

Choose an optional Extra-Curriculum Activity Program for Student #3 - 課外活動

Please select carefully, classes have age requirements.

Would you like to add Student #4 ($50 discount for 4th child)

Yes

Begin Registration of Student #4

Student #4 學生姓名 *

First Last

Chinese Name 中文名

Enter Chinese Characters for name or if none leave blank. Try writing characters with
https://translate.google.com/ and copy back to this form.

Date of Birth 生日 *

MM / DD / YYYY

Age in September 九月份年歲 *

Choose Grade level in Public/Private School *

Is this a new NCS student? 新生 *

Yes

No

NCS will be in contact if new student.

Choose NCS class to register for Student #4 語文組/會話組 *

Choose an optional Extra-Curriculum Activity Program for Student #4 - 課外活動

Please select carefully, classes have age requirements.

Would you like to add Student #5 ($50 discount for 5th child)

Yes

Begin Registration of Student #5

Student #5 學生姓名 *

First Last

Chinese Name 中文名

Enter Chinese Characters for name or if none leave blank. Try writing characters with
https://translate.google.com/ and copy back to this form.

Date of Birth 生日 *

MM / DD / YYYY

Age in September 九月份年歲 *

Choose Grade level in Public/Private School *

Is this a new NCS student? 新生 *

Yes

No

NCS will be in contact if new student.

Choose NCS class to register for Student #5 語文組/會話組 *

Choose an optional Extra-Curriculum Activity Program for Student #5 - 課外活動

Please select carefully, classes have age requirements.

Parents/Guardians Information / 家長/監護人資料
In accordance with federal and state privacy laws, NCS does not publish class lists or parent directories. All students, parents and guardians information collected on this form are used for school business purposes only.

Guardian #1 *

First Last

Guardian #1 Email *

Guardian #1 Home Phone Number *

### - ### - ####

Guardian #1 Cell Phone Number *

### - ### - ####

Guardian #2

First Last

Guardian #2 Email

Guardian #2 Home Phone Number

### - ### - ####

Guardian #2 Cell Phone Number

### - ### - ####

Primary Address *

Street Address City State / Province / Region Postal / Zip Code

If your family is new to NCS please give referral source:

Verbal

Flier or Brochure

Web Search

Social Media - Facebook, EventBrite, etc.

Other

Please indicate referring NCS family person's name in the Other box.

There is a referral credit given to the NCS referring family of $50 per new family. The maximum referring credit per school year per referring family is $100 and the referring credit will be applied to the following school year. If the current year is the referring family's last year at NCS, a check will be given to the family in the same year. The new family must be enrolled for a minimum of 3 weeks in order for the referring family to receive the referral credit.

NCS has many activities throughout the school year and we welcome all parents/guardians that may like to participate or become committee group planning leaders.

If you have a special interest, skill or talent you would like to share with the school please let us know.

NCS Liability Waiver:

By checking the boxes below, I have read and acknowledged the below statements.

1. I agree to take full responsibility for the safety of myself and all members of my family while attending NCS. *

Accept

2. I agree to take full responsibility for my child[ren] and to adhere to the NCS polices and guidelines as outlined in the online handbook during school hours. *

Accept

3. NCS reserves the right to take and utilize videos, photographs and images of school activities online, and/or in person events of children and/or families for NCS publication of which may include the NCS newsletter, website and social media. *

Accept

4. I explicitly accept and will abide by the terms set forth by the NCS Code of Conduct in the NCS Policy/Handbook. *

Accept

5. I explicitly accept the terms and responsibilities as set forth above and as covered in the NCS Policy/Handbook. *

Accept

Both the NCS Policy Handbook and the Code of Conduct can be found on the NCS Website: https://www.newtoncantoneseschool.org

With the submittal of this registration form, I accept and will abide by the NCS Code of Conduct and the terms and responsibilities set forth by the NCS Policy/Handbook. *

Parent/Guardian Signature

Payment Information Note:

Please make check payable to: Newton Cantonese School (NCS)

Please send check to:

NCS
P.O. Box 35255
Brighton, MA 02135

Remember to click on the "Submit" button on the bottom of this online Registration form. You will receive an email confirmation of this registration. In the memo section of your check please write down the registration confirmation number and registered student name(s).

We also accept Venmo and Bank of America:

NCS's Venmo account name is newtoncantoneseschool@gmail.com. In the comment section please enter the Name of the student(s) and the Registration #.

Sign in to Online Banking@Bank of America, then from the Transfers tab select Send money to Newton Cantonese School using email address newtoncantoneseschool@gmail.com In the message box please add Name of Student(s) and Registration #.

For 2020-2021 planning purposes registration closes on August 1, 2020. Payments must be postmarked or received by August 8, 2020 to reserve your class placement, regardless of when the registration form was submitted.

For more school information, please visit https://www.newtoncantoneseschool.org

Begin Registration of Student #1

Begin Registration of Student #2

Begin Registration of Student #3

Begin Registration of Student #4

Begin Registration of Student #5

Parents/Guardians Information / 家長/監護人資料 In accordance with federal and state privacy laws, NCS does not publish class lists or parent directories. All students, parents and guardians information collected on this form are used for school business purposes only.

NCS Liability Waiver:

Payment Information Note:

Parents/Guardians Information / 家長/監護人資料
In accordance with federal and state privacy laws, NCS does not publish class lists or parent directories. All students, parents and guardians information collected on this form are used for school business purposes only.