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APPLICATION
FORM
全部分类DECLARATION声明
I hereby agree
本人特此同意:For my child to be assessed for a place at EL-GENESIS Kindergarten。
我希望我的孩子能被评估进入伊莱瑞德双语幼儿园。That this application does not guarantee my child a place at EL-GENESIS Kindergarten。
此申请表并不保证我的孩子在双语幼儿园有一席之地。To provide a copy of my child's most recent kindergarten report, if any in English, at the time of assessment。
评估时将提供孩子近期的幼儿园住宿记录,并用英语填写。To make all due payments in accordance with EL-GENESIS 's schedule of fees。
按照伊莱瑞德双语幼儿园的课程表支付所有费用。To give in writing at least ONE TERM'S notice if my child is leaving the kindergarten。
如果我的孩子离开幼儿园,至少提前一个学期以书面形式通知园方。I agree to official photographs of or quotes attributed to my child appearing in promotional material for EL-GENESIS Kindergarten。
本人同意孩子的照片肖像可能出现在伊莱瑞德双语幼儿园的招生宣传材料中。I agree to abide by the admissions procedures of EL-GENESIS Kindergarten. I certify that the information given on this form is full and complete to the best of my knowledge and understanding。
本人同意遵守伊莱瑞德双语幼儿园的入学程序并保证申请表中信息完整无误。If I fail to provide accurate details of important information about the applicant, the school reserves the right to restrict entry into or withdraw the applicant's place。
如本人未真实提供申请人的重要信息,伊莱瑞德双语幼儿园有权限制入学或退学。I also understand that the completed application must be accompanied by the full payment of the non-refundable application fee of RMB2,000(non-refundable)。
我也确知报名手续仅在交付报名费人民币 2,000 元(不可退还)之后生效。SIGNATURE OF PARENT/GUARDIAN父母/监护人签名
Print Name
姓名
Signature
签名
Date
日期
REQUIRED DOCUMENTS FOR ADMISSION 入学所需文件
Please confirm all the listed items below are submitted with the application:
请确认以下所列项目均以提交申请Copy of child's passport or mainland travel permit (HK. Macau, Taiwan)
子女护照或港澳通行证(香港,澳门,台湾)复印件
Copy of parent's Passport or mainland travel permit (HK.Macau,Taiwan)
父母护照或港澳通行证(香港,澳门,台湾)复印件
Copy of child's birth certificate
子女出生证明复印件
Child's medical form/Immunizationg Record
子女医疗表格/免疫记录
Copy of most recent school reports(officially translated to English if any)
近期的学校报告复印件(如有可能请用英语翻译)1Xphotograph parent(s)
1张父母照片
1Xphotograph of child
1张子女照片
RMB2000 application fee
报名费人民币2000元
Additional Documents for China Nationals 中国籍子女另需提供以下文件
Copy of household registration
户口簿复印件
Copy of China Natuional ID card
中国身份证复印件
CHILD DETAILS 子女信息
Chinese name 中文姓名
English name 英文姓名
Nickname 昵称
Nationality 国籍
Date of Birth (dd/mm/yy) 出生日期
Gender 性别
ID number(Chinese student only) 身份证(仅限中国籍)
Passport number or mainland travel permit number (HK,Macau,Taiwan) 护照/港澳通行证
Home Address in China 中国境内家庭地址
Residential Address 住宅地址
Current Kindergarten (If have not go to school before,please fill in "None") 之前就读幼儿园(如果没有就填“无”)
Garade/Year Level 年级
Native language 第一语言
Second language 第二语言
MEDICAL INFORMATION 医疗健康信息
Please indicate if your child has a history of the following and please provide details as appropriate
请说明您的孩子是否有下列情况的历史,并请酌情提供详情
Eye(Circle L/R or both) 眼睛(左/右眼或双眼)
Ear(Circle L/R or both) 耳朵(左/右耳或双耳)
Asthma 哮喘
Heart Disease 心脏病
Diabetes 糖尿病
Epilepsy/Seizures 癫痫/癫痫发作
Digestive Problems 消化问题
Breathing Diffculties 呼吸障碍
Surgery 外科手术
Head Injury/Concussion 头部损伤/脑震荡
Convulsions 抽搐证
Allergies 过敏
Food /Drug Allergies 食物/药物补充剂
Others 其它
Special Diet 特殊饮食
Vegetarian Diet
Halal meal (Muslim food)
Non-nut Diet
No
Please list any medication that youer child must take while at kindergarten indicating the dosage and timing
请列出您孩子在幼儿园期间必须服用的药物,并注明剂量和时间
PHYSICAL,EMOTIONAL,BEHAVIORAL & LEARNING ISSUES 身体,情绪,行为和学习问题
Please indicate if your child has a history of the following and please provide details as appropriate
请说明您的孩子是否有下列情况的历史,并请酌情提供详情
Hearing 听力
Vision 视力
Mobility
Speech 语言表达能力
Behavioural 行为能力
Learning 学习能力
Doctor's Name in China (if available) 中国境内医生姓名
Doctor's Phone number (if available) 医生手机
Clinic Name and Adress 医师诊所名字和地址
PARENT DETAILS 父母详情
Title 称谓
Firstname 名
Surname 姓
Telephone 电话
E-mail Address 邮件地址
We chat 微信号
Home Address in China 家庭地址
Relationship to child 关系
Occupation 职业
Company Name 公司名称
Company Address 公司地址
GUARDIAN DETAILS 监护人详情 (if different from parent)
Title 称谓
Firstname 名
Surname 姓
Telephone 电话
E-mail Address 邮件地址
We chat 微信号
Home Address in China 家庭地址
Relationship to child 关系
Occupation 职业
Company Name 公司名称
Company Address 公司地址
PAYMENT DETAILS 付款详情
Kindergarten tuition fees paid by
幼儿园学费支付者Employer 雇主
Family 家庭
Both 都是
(If both,Please state % split)
如果都是请提供比例Would you like invoices sent to your China Home Adress?
您是否需要发票寄往中国家庭地址?Yes
No
(If no, please provide the alternativeaddress)
如果不需要,请提供其它选择地址
GENERAL INFORMATION 其它信息
Relocation Agency 介绍人
Have You Visited EL Genesis Before? 是否曾经来访过
How did you hear about EL Genesis? (Check all that apply) 从何处获取信息
Friend 朋友
Relative 亲戚
Website 网络
Advertisement 广告
Know a family enrolled 有朋友孩子在本园
Another school 其他学校
Other 其它
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