163-2022-23_Registration | BPA OF NY

top of page

Register Online (BPA at PS 163)
在线注册（PS 163 的 BPA）

Person completing registration form (Full name) [填写注册] :

Relationship to child [关系到孩子] :

Student Information [学生信息]

Student's name [学生的名字] :

Birthday [生日] :

Sex [男/女] :

Male [男]

Female [女}

Grade/ Class [年級/班級] :

Any siblings attending BPA? (Full name, Grade) [有没有参加 BPA 的兄弟姐妹?（姓名、年级）] :

Home address [地址] :

Guardian Information [ 监护人信息 ]

Parent/Guardian #1 [家长/监护人 #1]

Parent/Guardian #1 Full name [家长/监护人 #1 姓名] :

Relationship to child [关系到孩子] :

Parent/Guardian #1 Cellphone [家长/监护人 #1 手机] :

Parent/Guardian #1 Work [家长/监护人 #1 工作电话] :

Parent /Guardian #1 Email [家长/监护人 #1 电子邮件地址] :

Parent/Guardian #2 [家长/监护人 #2]

Parent/Guardian #2 Full name [家长/监护人 #1 姓名] :

Relationship to child [关系到孩子] :

Parent/Guardian #1 Cellphone [家长/监护人 #1 手机] :

Parent/Guardian #1 Work [家长/监护人 #1 工作电话] :

Parent /Guardian #1 Email [家长/监护人 #1 电子邮件地址] :

Emergency Information [紧急信息]

Emergency contact name: [紧急联络名字] :

Emergency phone [紧急电话号码] :

Emergency address [紧急地址] :

Program details [节目信息]

My child is [我的孩子是] :

New to Best Prep [BPA 新手]

Returning student [对 BPA 并不陌生]

Homework assistance + review
Program start date: Sept 12, 2022
Dismissal - 5:45 PM
$18/ day | Registration fee $60
Cold/hot meal included

Tuition for each month
September 2022 | $234
October 2022 | $342
November 2022 | $325
December 2022 | $310
January 2023 | $360
February 2023 | $270
March 2023 | $415
April 2023 | $216
May 2023 | $396
June 2023 | $288

家庭作业协助+复习
计划开始日期：2022 年 9 月 12 日
解雇 - 下午 5:45
$18/天 | 注册费$60
包括冷/热餐

本月学费
九月 | $234
十月 | $342
十一月 | $325
十二月 | $310
一月 | $360
二月 | $270
三月 | $415
四月 | $216
五月 | $396
六月 | $288

Dismissal Information [解雇信息]

My child may be picked up by the following person(s) [我的孩子可能会被以下人员接走] :

My child may NOT be picked up by (mark as NA if unapplicable) [我的孩子可能不会被以下人员接走（如果不适用，标记为 NA)] :

I give permission for my child to walk home alone at dismissal (Signature required) [我允许我的孩子在放学时独自走路回家（需要签名）]

Health Information [学生健康信息]

Allergies (mark NA if not applicable) [过敏（如果不适用，请标记为 NA)] :

Please check all that applies [请检查所有适用于您孩子的信息] :

Asthma [哮喘]

Behavorial/Emotional issues [行为/情绪问题]

Convulsions/Seizures [抽搐/癫痫发作]

Diabetes [糖尿病]

Corrective device (glasses, hearing aid, etc.) [矫正装置（眼镜、助听器等）]

N/A [不适用]

Does your child take medication for any condition or illness? (Mark NA if not applicable) [您的孩子是否因任何病症或疾病服用药物？（如果不适用，请标记 NA）] :

Are there any activities your child can NOT participate in? (Mark as NA if not applicable) [您的孩子是否有不能参加的活动？（如果不适用，标记为 NA）] :

For children who need Epinephrine auto-injector and/or inhaler on site:
[对于需要现场肾上腺素自动注射器和/或吸入器的儿童] :

I allow my child to carry his/her epi-pen and/or inhaler. (Signature required) [我允许我的孩子携带他/她的 Epi-pen 和/或吸入器。（需要签名）] :

Program Policy [计划政策]

Please review Best Prep's Program Enrollment contract and policies by clicking the link below.
[请单击下面的链接查看 Best Prep 的计划注册合同和政策。]

BPA policy [政策]

What is Adverse Childhood Experiences (ACEs)? Click on the link below to learn more.
什麼是不良童年經歷 (ACE)？單擊下面的鏈接以了解更多信息。

Adverse Childhood Experience (ACE)

I have read and agree to the terms & conditions. [我已阅读并同意条款和条件]

Anything else you would like us to know? [你还有什么想让我们知道的吗？] :

Please review all information to make sure everything is accurate.
请检查所有信息以确保一切准确无误。

Please note registration is not finalized until payments are received.
请注意，在收到付款之前，注册不会完成。

Upon submitting, we will be in contact with you via email.
提交後，我們將通過電子郵件與您聯繫。

COPYRIGHT (C)2020 WWW.BPANY.COM ALL RIGHTS RESERVED

bottom of page