报名表 Registration

Please enter information in the form below to process registration for event 线上GCSE英语预备班（10年级）Online Pre-GCSE English(Year10).

姓名 ( 中文 Name in Chinese 和英文/拼音 Name in English/Pinyin ) *

生日 DOB *

性别 Gender *

男 Male

女 Female

药物/食物过敏情况 Medical condition *

父母姓名（任填一位） Parent's name *

电子邮件 Email *

手机号 Phone *

学校如有紧急情况将拨打电话联系(如有更新及时告知学校).
Emergency contact number ( Please inform school in time if this number changes).

交学费数额 Amount of payment *

请根据所报科目选择相应的银行账号支付 Please select bank details for the payment：
1，报名Greenwich Eltham 校区线下中文课，请用下面LCLC学校帐号转帐支付. Please pay to LCLC account by online bank for Chinese lessons in LCLC School Greenwich Eltham Branch.
Name: LCLC
Sort Code: 20-49-81
Account: 73834336
Reference: Student's name
2，报名Romford 校区中文课和所有网上中文课，请用下面Romford分校帐号转帐支付. Please pay to LCLC Romford Branch account by online bank for Chinese lessons in LCLC Romford Branch and all Chinese online lessons.
Name: LCLC Romford
Sort Code: 20-57-76
Account: 10492434
Reference: Student's name
3，报名英语、数学、科学、11+、GCSE等补习课，报名绘画、羽毛球、围棋等兴趣课和假期活动班，请用下面LCLC Tuition 学校帐号补习转帐支付. Please pay to LCLC Tuition account by online bank for English, Maths, Science, 11+, GCSE, Art, Badminton, Chinese Go and Holiday Camp.
Name: LCLC Tuition
Sort Code: 20-57-76
Account: 10572284
Reference: Student's name
交学费数额 Amount of payment

交费方式和数额 Payment method & Amount *

请选择交费方式和数额 Please select Payment method and Amount ：
1、交全年学费 Payment for a year
2、交一学期学费Payment for a term

收教材地址 Delivery address for Textbooks

报名中文网课请填写详细地址以便邮寄教材 Address for receiving textbooks for Chinese online course.

银行转账付款备注 Reference *

请写上孩子名字（建议用汉语拼音便于学校核对），Fill Child/Children's name in Reference for checking.

请付完款后将付款凭证上传照片 Upload the evidence of payment *

同意书1 Agreement1 *

我同意学校使用本人提供的信息用于学校的正常信息交流和通知。同意学校可以拍摄我的孩子在校期间的活动学习或代表学校参加活动期间的照片或视频并可以发表在学校的出版刊物、资料、网页等相关媒体上。（在校期间包括在学校建筑内及周围墙内，也包括学校组织的网课。）I agree that school use my information and works for the school's normal notification and communication. We ask you for your consent for any photographs/videos of your child/children that were/are taken while at school and give permission to put them on our school website, newsletter or leaflet.

其他

Agreement1其他理由 *

同意书2 Agreement2 *

我同意《学校退学生学费政策》，具体内容为：1.在开学（课）前两周请求退学费，可以全额退款；之后到开学（课）当日请求退学费，可以退全额学费的90%；2.上过一次课，可以退剩余学费的80%；3.上过两次课，可以退剩余学费的70%；4.上过三次课，可以退剩余学费的60%；5.上过四次课，可以退剩余学费的50%；6.上课超过四次课，不给退剩余学费。如果有特殊情况，需要提前跟学校商量解决。I agree with the policy on refund of student's tuition fees. The specific contents are as following: 1, If you ask for a refund two weeks before the beginning of school, you can get a full refund; if you ask for a refund on the first day, you can refund 90% of the full tuition fee; 2, If you have attended one lesson, you can refund 80% of the remaining tuition fee; 3, If you have attended two lessons, you can refund 70% of the remaining tuition fee; 4, If you have attended three lessons, you can refund the remaining tuition 60% of the tuition fee; 5, 50% of the remaining tuition fee can be refunded after four lessons; 6, The remaining tuition fee will not be refunded if the class has been taught more than four times. If there are special circumstances, please discuss with our school in advance.

其他

Agreement2其他理由 *

同意书3 Agreement3 *

个人数据使用保护规定、学生行为准则 Notice of the Use and Protection of Personal Data of LCLC School, LCLC student code of behaviour. 根据欧盟信息保护法规（GDPR），我校要对学生和家长的姓名、照片和联系方式等信息进行重新收集、处理和保护。详见下面《规定通知》和学生行为准则（三张照片）

其他

《个人数据使用和保护》（中文英文版）和《学生行为准则》作为第15条的附件供查阅.

Agreement3其他理由 *

欢迎咨询联系

伦敦汉语文化学校（LCLC)
张校长电话 07882906737 微信：xiangbin248
郑校长电话 07443902473

填表人姓名，与学生关系。 Form completed by (Please Print), Relationship to student. *

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