BCS Student Profile 学生信息

Name:
* *

Date of Birth
*

Email
*

Gender: *

Male

Female

Home Address
*

Phone
*

** Children please fill all following infomation:

Health Insurance Company and Policy# *

Allergies *

Father *

Mother *

Emergency *

Please carefully read the following agreement, and check the box: *

By signing below, I agree
to pick up my child on time (by 3:30pm for 1:30-3:20pm class and by 5:30pm for 3:30-5:20pm class). Any incidents occur after the pick-up time will be my own responsibility.
In an emergency, the school has my permission to take my child to the emergency room of the nearest hospital. if I cannot be reached or contacted, the hospital staff has my authorization to provide treatment which a physician deems necessary for the well-being of my child. I relieve the school of responsibility in case of accidental injury during all activities.
I also understand that my child may be disciplined if breaches of rules and regulations occur, and assume responsibility for damage to school property brought about by my child.
I hereby authorize Baltimore Chinese School, its affiliates, successors and assignees and any person acting under its permission and authority, to reproduce, publish and circulate photographs of me or my child(ren) on the Baltimore Chinese School Internet Web Page and School Publications. I hereby grant, assign and transfer to Baltimore Chinese School all of my rights regarding the use of such photographs of my child. BCS has photography and videography permission for publication.
I acknowledge that I have read and understand this Authorization and Release.