苏州新加坡国际学校

Registration Online

A:Students Information

Student's Name: Gender:MF Birthdate : Height:cm

First Language: Nationality: Passport Number:

Grade entering in September 2012:

Current School:

Ability to speak and understand English:HighMediumLow

Ability to speak and understand Chinese:HighMediumLow

B:Family Information:

Parent's/Guardian's Name:

Address:

Parents's Preferred Phone: Email:

In case of emergency, next person to contact: Emergency phone:

C:Additional Information

Have your child undergone any evaluative testing or received any learning support service? If yes, please give details in the space below.

Any other helpful information we should know?

D:Registration

My child had signed up for summer programme in the previous year.

YESNO

Elementary Courses

P1 P2

Middle Courses

M

I understand that my registration to the courses will be accepted on a first-come, first-served basis.

If Transportation needed, please tick to indicate.

Transportation needed:
SIP: RMB 200 one week
City: RMB 250 one week
New District: RMB 320 one week
I do not need Transportation: No Fees

one week Two weeks
Three weeksFour weeks

There will be a few designated pick-up points in the following districts.(Details will be available in June)

E:Medical Information

1. Does you child have any health conditions (e.g. allergies, asthma, etc)

2. Does you child have any food or activity restrictions?

3. Remarks (if any)

Parent Authorization

1. I know that every reasonable and customary precaution will be taken to assure the safety of everyone. I waive all claims in the event of an accident or injury absolving the CSIES & SSIS Summer Programme and all individuals thereof, from responsibility.
2. I understand that in the event of an illness or accident to my child, CSIES & SSIS Summer Programme will make all reasonable attempts to contact me. 
3. In the event that I cannot be reached, I hereby grant CSIES & SSIS Summer Programme full discretion to consult a licensed physician of their choice to attend to my child.  All medical fees and any other expenses shall be borne by me. 
4. I also understand that if my child shows any sign of being ill or unwell, my child may be isolated from the other children and given supervision.
5. I further understand that medication may be administered by SSIS’s nurse according to the directions given by the licensed physician.
6. I hereby authorize SSIS to administer the following common household medications: Antiseptic lotion, Hydrocortisone Butyrate cream, Reparil gel, Votalin ointment, Normal saline, bactroban.
7. I have read the policies and agree to cooperate.

I have read parent authorization and agreed with all of the above, and I give permission for my child to attend the Summer School Programme.

*Please make sure that your information given is accurate before registering.