Book Learn Chinese China Summer Camp in Shanghai online with MandarinRocks Chinese Language School

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2012 Online Application
for Summer Camp

To apply for summer camp, students need be aged between 7-22 (on arrival). For students under 16, following application should be submitted by parent or guardian. Application needs to be submitted generally at least 4-6 weeks before intended start date. Late applicants are possible but accepted on case to case basis and we suggest you contact us first to check availability.
Make sure you have read Price & Schedule. If you prefer, you can print and send the PDF application form by email to info@MandarinRocks.com.

Program Data

Program you’d like to apply for*

	Day Camp (7-15yrs)
	Full Camp (7-22yrs)
Accompanying parents (only refer to parents that pay parent fee and join the camp)
	None	Yes	(number of accompanying parents)

Start Date* Guide

June 11	June 25	July 09	July 23	August 06
Others

Duration* Guide

weeks

Airport Pick-up Guide

Yes

Arrival Date

Coming from (City)

Airport of Arrival

Airline

Flight No

Arrival Time

Student 1 Information

Personal Information

First Name*

Family Name*

Gender*

Male

Female

Nationality*

Native language*

Date of Birth*

day

month

year

Tel No.*
Country	Area	Phone
Mobile No.
Country	Area	Phone

Address*

	(street)		(city)
	(zip code)		(country)

Company/School
Occupation/Grade
Website
Passport Number
(Provide as soon as possible if you don’t have one yet)

Current level of Chinese*

	Total Beginner		Beginner		Elementary
	Pre-intermediate		Intermediate		Advanced

Health Condition*

Any medical conditions(Allergies, asthma, illnesses, previous injuries, disabilities)

None

Yes

(please specify here)

Symptoms

Medications

Emergency Contact

Name*

Relationship*

Tel No.*
Country	Area	Phone
Mobile No.
Country	Area	Phone

Taken any programs with Mandarinrocks before?*

None

Yes

(please specify here)

How did you hear about us? Please specify here*

	Yahoo Search			Google Search
	Advertisement
	Friend
	Agent
	Company

Student 2 Information Skip this if there are no more students

Personal Information

First Name

Family Name

Gender

Male

Female

Nationality

Native language

Date of Birth

day

month

year

Tel No.
Country	Area	Phone
Mobile No.
Country	Area	Phone

Address

	(street)		(city)
	(zip code)		(country)

Company/School
Occupation/Grade
Website
Passport Number
(Provide as soon as possible if you don’t have one yet)

Current level of Chinese

	Total Beginner		Beginner		Elementary
	Pre-intermediate		Intermediate		Advanced

Health Condition

Any medical conditions(Allergies, asthma, illnesses, previous injuries, disabilities)

None

Yes

(please specify here)

Symptoms

Medications

Taken any programs with Mandarinrocks before?

None

Yes

(please specify here)

Student 3 Information Skip this if there are no more students

Personal Information

First Name

Family Name

Gender

Male

Female

Nationality

Native language

Date of Birth

day

month

year

Tel No.
Country	Area	Phone
Mobile No.
Country	Area	Phone

Address

	(street)		(city)
	(zip code)		(country)

Company/School
Occupation/Grade
Website
Passport Number
(Provide as soon as possible if you don’t have one yet)

Current level of Chinese

	Total Beginner		Beginner		Elementary
	Pre-intermediate		Intermediate		Advanced

Health Condition

Any medical conditions(Allergies, asthma, illnesses, previous injuries, disabilities)

None

Yes

(please specify here)

Symptoms

Medications

Taken any programs with Mandarinrocks before?

None

Yes

(please specify here)

Family Information

Parent 1/Guardian 1

Name*		Relationship*
Nationality*		Age*
Occupation*

Tel No.*
Country	Area	Phone
Mobile No.
Country	Area	Phone

Accompanying parent? (only refer to parents that pay parent fee and join the camp)*

Yes

Parent 2 / Guardian 2

Name		Relationship
Nationality		Age
Occupation

Tel No.
Country	Area	Phone
Mobile No.
Country	Area	Phone

Accompanying parent? (only refer to parents that pay parent fee and join the camp)

Yes

Address*

Same as Student 1

Yes

	(street)		(city)
	(zip code)		(country)

Payment

To confirm your booking, a deposit of 320USD/240EUR for each student and each accompanying parent deductable from the total (NON REFUNDABLE) must be paid to MandarinRocks. This deposit is not an additional cost. The balance must be paid at least 6 weeks before arrival. Students currently in Shanghai can pay by credit card or cash in person at school. Students from other cities or abroad can only pay by bank transfer. We will contact you with a confirmation email within the next 48 hours after your application is submitted. The deposit and payment is payable at that point, not now.

Other Information You Need Us to Know

Special Permission (For students under 16 only)

We give permission for our kids to leave the camp unsupervised (within MandarinRocks’ regulations) Guide

Yes

Verify Email Address

All current and future correspondence, including confirmations and updates, will be sent to this address.

Enter your email address

Re-enter your email address

	Email me occasional promotions and new offers

I have read and agree to Mandarinrocks’ Summer Camp Terms and Conditions

Contact Details
MandarinRocks (Shanghai)
Tel +86 21 62550715
Fax +86 21 62883988
E-mail: info@mandarinrocks.com

FAQ

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Brochure

Prices & Dates