TUITION Info: Preschool :: After School :: Summer School :: Enrichment Classes

Registration Form:

Student's Full Name:

Grade next year:

Home Address:

City:

Zip Code:

Home Ph:

( ) (no dashes or space, 7 digits)

School:

Birth Date:

Parent/Guardian's
Name:

Email:

Work Phone:

( ) (no dashes or space, 7 digits)

Cell Phone:

( ) (no dashes or space, 7 digits)

I would like to register my child for the following program(s):

Preschool:

Full day AM PMPart dayLunch

After School:

3 days/week 4 days/week 5 days/week

Summer School:

Regular Program:

Chinese AmericanProgram:

Full day	Half day	Lunch
Early Care	Extended Care
No. of weeks Starting Date:

School Break:

Full day	Half day	Lunch
Early Care	Extended Care
Dates: (range: mm/dd/yy - mm/dd/yy)

Enrichment Classes:

Music on the Move:

Piano:

Conversational Spanish:

Judo:

Olympic Math:

Chinese Folk Dancing:

Chinese Language:

Art Classes & Brush Painting:

ShaoLin KungFu Zen:

AmericaEd is a California Public Benefit Corporation under section 501(c)(3)
of the Internal Revenue Code, and we accept students from 4C's, CalWorks, PACEAPP, Choices for Children, and Santa Clara County CDP programs.

Last updated 05/29/2008