Your Full Name *

First Name

Last Name

(1st) Child's Full Name *

First Name

Last Name

Is (1st) child new to CCBG? *

YES — Recently been interviewed by CCBG. (CCBG will reach out to you for additional information for our records.)

NO — Existing student.

I would like my (1st) child to be enrolled in: *

Please select all that applies. Enrollment can be non-sequential weeks.

Week 1: 7/8 to 7/12 (Manhattan Only)

Week 2: 7/15 to 7/19 (Manhattan Only)

Week 3: 7/22 to 7/26 (Manhattan Only)

Week 4: 7/29 to 8/2 (Manhattan Only)

Week 5: 8/5 to 8/9 (Manhattan & Brooklyn)

Week 6: 8/12 to 8/16 (Manhattan & Brooklyn)

Week 7: 8/19 to 8/23 (Brooklyn Only)

Week 8: 8/26 to 8/30 (Brooklyn Only)

(2nd) Child's Full Name

First Name

Last Name

Is (2nd) child new to CCBG?

YES — Recently been interviewed by CCBG. (CCBG will reach out to you for additional information for our records.)

NO — Existing student.

I would like my (2nd) child to be enrolled in:

Please select all that applies. Enrollment can be non-sequential weeks.

Week 1: 7/8 to 7/12 (Manhattan Only)

Week 2: 7/15 to 7/19 (Manhattan Only)

Week 3: 7/22 to 7/26 (Manhattan Only)

Week 4: 7/29 to 8/2 (Manhattan Only)

Week 5: 8/5 to 8/9 (Manhattan & Brooklyn)

Week 6: 8/12 to 8/16 (Manhattan & Brooklyn)

Week 7: 8/19 to 8/23 (Brooklyn Only)

Week 8: 8/26 - 8/30 (Brooklyn Only)

(3rd) Child's Full Name

First Name

Last Name

Is (3rd) child new to CCBG?

YES — Recently been interviewed by CCBG. (CCBG will reach out to you for additional information for our records.)

NO — Existing student.

I would like my (3rd) child to be enrolled in:

Please select all that applies. Enrollment can be non-sequential weeks.

Week 1: 7/8 to 7/12 (Manhattan Only)

Week 2: 7/15 to 7/19 (Manhattan Only)

Week 3: 7/22 to 7/26 (Manhattan Only)

Week 4: 7/29 to 8/2 (Manhattan Only)

Week 5: 8/5 to 8/9 (Manhattan and Brooklyn)

Week 6: 8/12 to 8/16 (Manhattan and Brooklyn)

Week 7: 8/19 - 8/23 (Brooklyn Only)

Week 8: 8/26 - 8/30 (Brooklyn Only)

PART 3 — ENROLLMENT HISTORY *

My child(ren) is (are)/was (were) enrolled in the following CCBG program(s): Please select all that applies.

2023-24 School Year Program

2023 Summer Camp NYC

We are new to the program (interviewed).

PART 4 — Transfer of existing CCBG consent and waiver agreement: *

I hereby give consent to CCBG to transfer my child(ren)'s existing consent and waiver agreement(s) to apply to the CCBG 2024 Summer Camp NYC On-site Program. *A new House Rule Policy is amended to the existing agreement: House Rule Policy — In events when the health and safety of the CCBG community face potential risks, CCBG reserves the right to set forth house rules. The rules may concern the format of the classes, regulations of on-site class qualifications and indoor space usage. (In the event that your child(ren) is/are no longer enrolled with us, this consent and waiver agreement will be automatically nullified.)

Yes, I hereby give consent to the above.

Yes, I hereby give consent to the above AND one or more of my child(ren) is/are NEW to the program and I need to sign a consent form. (CCBG will reach out to you.)

PART 5 — INFORMATION CHANGES

Please let us know if you have any changes in the following information on CCBG's records:

NONE

My child(ren) is/are NEW to the program (CCBG will reach out to you.)

Home address/phone

Child's allergies status

Parent/guardian contact information

Emergency contact

Other (Please indicate in the space provided below.)

Any allergies? *

Please report any known food, medical or environmental allergies your child(ren) may have.

NONE — My child(ren) do not have any allergies.

YES — My child(ren) has an allergy. (Please indicate allergy in the space below.)

Existing student(s) — My child(ren)'s allergy status is already on record.

PART 6 — TUITION, DEPOSIT & REFUND POLICIES *

— SUMMER CAMP NYC (ON-SITE) — TUITION RATES: $675 per week Enrollment is only complete when a minimum deposit of $250 per child PER WEEK is received. Installment plan is acceptable. The deposit is non-refundable but is credited towards the total fees due. For those of you who can, we encourage you to pay in full to help reduce our paperwork load. No refund will be issued once enrollment is complete. (Very special circumstances will receive special consideration.) Please select below to consent that you have read, understood and agree to our Tuition and Refund Policies.

I have read and agree to the above tuition and refund terms and conditions.

PART 7 — AFTER HOURS POLL *

After Hours is available: Daily (Mon to Fri) from 3pm to 5pm

YES — We will need After Hours. [Days and hours can be specified close to camp dates.]

NO — We will not need After Hours.

MAYBE — We are not sure if we need it yet.

PART 8 — PAYMENT METHOD *

CCBG kindly asks, for those who can, to make payments by Zelle (no transaction fees), personal or bank check (via your bank's bill-pay online system) in an effort to help our program save on digital transaction fees which can chip away at resources for our students and teachers. I would like to pay the tuition fees by:

[Preferred] Personal/Bank check — Please make checks payable to: CHILDREN'S CHINESE BOOK GARDEN [CCBG will reach out with mailing instructions.]

[Preferred] Zelle - Email to ask for account address

Credit card - Email to ask for a payment link

Your Full Name *

First Name

Last Name

>>>>>>>(1st) Child's Full Name *

First Name

Last Name

Is (1st) child new to CCBG? *

YES — Recently been interviewed by CCBG. (CCBG will reach out to you for additional information for our records.)

NO — Existing student.

I would like my (1st) child to be enrolled in: *

Online GROUP Classes: 2 classes per week (TUES & THURS) in the afternoon *time to be discussed with participating families Enrollment can be non-sequential weeks. Please select all that applies.

Week 1: 7/8 & 7/12

Week 2: 7/15 & 7/19

Week 3: 7/22 & 7/26

Week 4: 7/29 & 8/2

Week 5: 8/5 & 8/9

Week 6: 8/12 & 8/16

>>>>>>>(2nd) Child's Full Name

First Name

Last Name

Is (2nd) child new to CCBG?

YES — Recently been interviewed by CCBG. (CCBG will reach out to you for additional information for our records.)

NO — Existing student.

I would like my (2nd) child to be enrolled in:

Online GROUP Classes: 2 classes per week (TUES & THURS); class time is in the afternoon *specific time to be discussed with participating families; Enrollment can be non-sequential weeks. Please select all that applies.

Week 1: 7/8 to 7/12

Week 2: 7/15 to 7/19

Week 3: 7/22 to 7/26

Week 4: 7/29 to 8/2

Week 5: 8/5 to 8/9

Week 6: 8/12 to 8/16

>>>>>>>(3rd) Child's Full Name

First Name

Last Name

Is (3rd) child new to CCBG?

YES — Recently been interviewed by CCBG. (CCBG will reach out to you for additional information for our records.)

NO — Existing student.

I would like my (3rd) child to be enrolled in:

Online GROUP Classes: 2 classes per week (TUES & THURS) Enrollment can be non-sequential weeks. Please select all that applies.

Week 1: 7/8 to 7/12

Week 2: 7/15 to 7/19

Week 3: 7/22 to 7/26

Week 4: 7/29 to 8/2

Week 5: 8/5 to 8/9

Week 6: 8/12 & 8/16

PART 3 — Transfer of existing CCBG consent and waiver agreement: *

I hereby give consent to CCBG to transfer my child(ren)'s existing consent and waiver agreement(s) to apply to the CCBG 2024 Summer NYC Online Group Program. (In the event that your child(ren) is/are no longer enrolled with us, this consent and waiver agreement will be automatically nullified.)

Yes, I hereby give consent to the above.

Yes, I hereby give consent to the above AND one or more of my child(ren) is/are NEW to the program and I need to sign a consent form. (CCBG will reach out to you.)

PART 4 — INFORMATION CHANGES *

Please let us know if you have any changes in the following information on CCBG's records:

NONE

My child(ren) is/are NEW to the program (CCBG will reach out to you.)

Home address/phone

Child's allergies status

Parent/guardian contact information

Emergency contact

Other

PART 5 — TUITION, DEPOSIT & REFUND POLICIES *

— SUMMER NYC ONLINE GROUP PROGRAM — TUITION RATES: $35 per class Enrollment is only complete when full tuition is paid. Installment plan is acceptable. For those of you who can, we encourage you to pay in full to help reduce our paperwork load. No refund will be issued once enrollment is complete. (Very special circumstances will receive special consideration.) Please select below to consent that you have read, understood and agree to our Tuition and Refund Policies.

I have read and agree to the above deposit and refund terms and conditions.

PART 6 — CCBG ONLINE PROGRAM POLICIES *

Up to THREE classes can be rescheduled by a student joining another group class of the same week. Please select below to consent that you have read, understood and agree to our online class policies.

I have read and agree to the above Online Program Policies and their terms and conditions.

PART 7 — PAYMENT METHOD *

CCBG kindly asks, for those who can, to make payments by Zelle, personal or bank check (via your bank's bill-pay online system) in an effort to help our program save on digital transaction fees which can chip away at resources for our students and teachers. I would like to pay the tuition fees by:

[Preferred] Personal/Bank check — Please make checks payable to: CHILDREN'S CHINESE BOOK GARDEN [CCBG will reach out with mailing instructions.]

[Preferred] Zelle - Please email to get account address.

Credit card - Please email to get link.

Your Full Name *

First Name

Last Name

>>>>>>>(1st) Child's Full Name *

First Name

Last Name

Is (1st) child new to CCBG? *

YES — Recently been interviewed by CCBG. (CCBG will reach out to you for additional information for our records.)

NO — Existing student.

(1st) child's agreed upon schedule & arrangement: *

Class Duration: 50 minutes | 1-on-1 Rate: $65 per class

I verify that my (1st) child's online individual program schedule & arrangement described below was agreed upon through previous communications with CCBG. I also understand that any desired changes to this schedule will need to be approved by CCBG and that such changes may or may not be accommodated depending on availabilities and resources.

(1st) Child's class frequency: *

One class per week

Two classes per week

Three classes per week

Other frequency (please specify below)

>>>>>>>(2nd) Child's Full Name

First Name

Last Name

Is (2nd) child new to CCBG?

YES — Recently been interviewed by CCBG. (CCBG will reach out to you for additional information for our records.)

NO — Existing student.

(2nd) child's agreed upon schedule & arrangement:

Class Duration: 50 minutes | 1-on-1 Rate: $65 per class

I verify that my (2nd) child's online individual program schedule & arrangement described below was agreed upon through previous communications with CCBG. I also understand that any desired changes to this schedule will need to be approved by CCBG and that such changes may or may not be accommodated depending on availabilities and resources.

(2nd) child's class frequency:

One class per week

Two classes per week

Three classes per week

Other frequency (please specify below)

>>>>>>>(3rd) Child's Full Name

First Name

Last Name

Is (3rd) child new to CCBG?

YES — Recently been interviewed by CCBG. (CCBG will reach out to you for additional information for our records.)

NO — Existing student.

(3rd) child's agreed upon schedule & arrangement:

Class Duration: 50 minutes | 1-on-1 Rate: $65 per class

I verify that my (3rd) child's online individual program schedule & arrangement described below was agreed upon through previous communications with CCBG. I also understand that any desired changes to this schedule will need to be approved by CCBG and that such changes may or may not be accommodated depending on availabilities and resources.

(3rd) child's class frequency:

One class per week

Two classes per week

Three classes per week

Other frequency (please specify below)

PART 3 — Transfer of existing CCBG consent and waiver agreement: *

I hereby give consent to CCBG to transfer my child(ren)'s existing consent and waiver agreement(s) to apply to the CCBG 2024 Summer Online Individual Program. (In the event that your child(ren) is/are no longer enrolled with us, this consent and waiver agreement will be automatically nullified.)

Yes, I hereby give consent to the above.

Yes, I hereby give consent to the above AND one or more of my child(ren) is/are NEW to the program and I need to sign a consent form. (CCBG will reach out to you.)

PART 4 — INFORMATION CHANGES *

Please let us know if you have any changes in the following information on CCBG's records:

NONE

My child(ren) is/are NEW to the program (CCBG will reach out to you.)

Home address/phone

Child's allergies status

Parent/guardian contact information

Emergency contact

Other

PART 5 — TUITION, DEPOSIT & REFUND POLICIES *

— SUMMER ONLINE INDIVIDUAL PROGRAM — TUITION RATES: $65 per 50-minute class Enrollment is only complete when full tuition is paid. Installment plan is acceptable. For those of you who can, we encourage you to pay in full to help reduce our paperwork load. No refund will be issued once enrollment is complete. (Very special circumstances will receive special consideration.) Please select below to consent that you have read, understood and agree to our Tuition and Refund Policies.

I have read and agree to the above deposit and refund terms and conditions.

PART 6 — CCBG ONLINE INDIVIDUAL PROGRAM POLICIES *

Due to the 1-on-1 nature of the classes, it is vital that students abide by the following terms: 1. Up to 20% of the sessions can be rescheduled with a 24-hour notice. 2. A class is counted as a taught class if the rescheduling request is received within 24 hours before the class time. 3. A class is counted as a taught class if a student doesn't show up to the class. 4. Time late to the class is counted as class time. Exceptions will be made to accommodate special circumstances, such as sickness, family emergency and internet connectivity problems. Since the spring of 2020, CCBG's 1-on-1 program is only able to run smoothly because the overwhelming majority of you strictly adhered to your child's assigned schedule. Let's continue doing that so the 1-on-1 program can continue to run for our students. Please select below to consent that you have read, understood and agree to the Online Individual Program Policies' terms and conditions.

I have read and agree to the above Online Program Policies and their terms and conditions.

PART 7 — PAYMENT METHOD *

CCBG kindly asks, for those who can, to make payments by Zelle (no transaction fee) personal or bank check (via your bank's bill-pay online system) in an effort to help our program save on digital transaction fees which can chip away at resources for our students and teachers. I would like to pay the tuition fees by:

[Preferred] Personal/Bank check — Please make checks payable to: CHILDREN'S CHINESE BOOK GARDEN [CCBG will reach out with mailing instructions.]

[Preferred] Zelle - Please email to ask for account address.

Credit card - Please email to ask for a link.