CSCCCI 2025 Fall Registration Form

STUDENT INFORMATION

Student's English Name

Student's Chinese Name

Address

Gender

Male Female

Date of Birth

Fall 2025 Classes (Select One or More)

Beginning Mandarin Classes (Sundays, 1:30-3:30 PM) Advanced Mandarin Classes (Sundays, 1:30-3:30 PM) Adult Online Classes (TBA) Chinese School Children's Choir (Sundays after Labor Day, 10:30-11:15 AM) After School Fun (Sundays, 3:30-5:00 PM)

Allergies

Mandarin Spoken at Home

Always Sometimes Rarely Never

PARENTS INFORMATION

Parent1 Full Name

Parent1 Email

This address will receive a confirmation email

Parent1 Mobile

Parent2 Full Name

Parent2 Email

This address will receive a confirmation email

Parent2 Mobile

Emergency Contact Person

Emergency Contact Number

WAIVER OF LIABILITY, HOLD HARMLESS AND PHOTO RELEASE AGREEMENT

Please review, print, sign, and return CSCCCI's Waiver of Liability, Hold Harmless and Photo Release Agreement.

(You may upload the signed CSCCCI waiver form here or physically hand in to Chinese School Office.)

Upload (8MB)

PAYMENT

Tuition & Fee Information

Mandarin Language Class Tuition

1st registered student in the family: $170.00

2nd student: $160.00

3rd student: $155.00

4th student and beyond: $150.00

After-School Program Tuition

Flat Rate: $150.00 per student
(Includes all materials and supplies. No additional fees.)

Additional Fees

(Applicable to Mandarin language classes only)

Textbook / Supply / Virtual Lesson Maintenance Fee:

Beginning Class: $35.00 per student

All other classes: $25.00 per student

Parent Duty Deposit:

$30.00 (for families with 1 registered student)

$60.00 (for families with 2 or more registered students)

Online Payment Processing Fee

A 3.5% processing fee will be applied to all online payments, including both Mandarin language classes and After-School Program tuition.

Parent Duty Deposit Policy

The parent duty deposit will be cashed and deposited by the school at the time of registration.
Families who fulfill their assigned parent duty will receive a refund check for the full deposit amount.
If the duty is not fulfilled, the deposit will not be refunded.

Select the correct option based on each student’s registration.

Option

Credit/Debit Card Number

Expiration Date/CVC

Name on Card Card Billing Address

Description

August 17 - December 14, 2025

2025 Fall Semester Registration
Class Dates: August 17 – December 14, 2025
Location: Chinese School of the Chinese Community Church of Indianapolis
3405 E. 116th Street, Carmel, Indiana 46033

Mandarin Language Classes
(In-person classes are tentatively held on Sundays, 1:30–3:30 PM)
• Beginning Mandarin Classes
• Advanced Mandarin Classes (Pre-AP & AP Levels)
• Adult Mandarin (Online)

Before & After School Enrichment Programs
• Children’s Choir
The Children’s Choir is free and open to all eligible children. To ensure safety and instructional quality, enrollment is limited to approximately 15 students, with adjustments made as needed. A parent or guardian must remain on-site at the church during class time. Families are welcome to attend worship services, join Sunday school classes, or wait in the designated area.
Time: Sundays, 10:30–11:15 AM (starting September 7, 2025, after Labor Day)
• After School Fun Time: Sundays, 3:30–5:00 PM

Please fill out the form to submit