Young Eagle After School Classes Registration Form
August 25 -- December 17
After School Mandarin Language Classes for Elementary School Age Children
Classes Offered from 1 to 5 Days a Week (3:30 – 5:30)
To reserve a place for your child, please complete this form and mail to 625 East NC Hwy 54, Durham, NC 27713 with your $30 registration fee. Checks should be made out to DCS. See below for tuition payment schedules.
Please note that once registered you are obligated for full semester tuition. The only exception is for families who move more than 50 miles away from DCS. Those families must turn in a written notice 30 days in advance to receive a prorated tuition refund or waiver.
Discounts: If your child is also registered in our Little Panda Preschool program then you receive a 50% discount and waiver of the $30 registration fee. (NOTE: These children are in separate age classes from the elementary school age students). Also, if the child registered is a sibling of a child in the preschool program you receive a 10% discount but the $30 fee applies.
Make Up Classes: If your child misses a class they may make that class up during the same week.
| Payment | 1 Day | 2 Day | 3 Day | 4 Day | 5 Day |
| 1st Due 8/1 | $248 | $248 | $248 | $331 | $414 |
| 2nd Due 10/1 | $0 | $248 | $248 | $331 | $414 |
| 3rd Due 11/15 | $0 | $0 | $248 | $330 | $413 |
| Total Payment | $248 | $496 | $744 | $992 | $1240 |
Please write your child’s name and circle the days of the week you are signing them up.
Student Name: ______________________ Mon Tues Wed Th Fri
*** Please check here ____if your information has changed***
Birthday: _________________________ Age: _____ Sex: _____
Allergies: _____________________________________________
_____________________________________________________
Home Address:
Street: _______________________________________________
City, State, Zip: ________________________________________
Parent Name: __________________ Cell Ph: (_____)__________
Work Ph: (_____)____________ Email: ____________________
Parent Name: __________________ Cell Ph: (_____)__________
Work Ph: (_____)____________ Email: ____________________
Emergency Contact Name & Phone:
_____________________________________________________
Persons Authorized to Pick Up Your Child From School
_____________________________________________________
_____________________________________________________
Guardian Signature: ______________________ Date: _________
For more information please contact Principal Xiaoping Johnson at 919-308-3511, xpj@earthlink.net or visit our website at www.littlepandapreschool.org.