Chinese Culture and Language Summer Camp

Chinese Language and Culture Summer Camp

June 13 - August 12 (PreK-G6)
**Select Sessions to Enroll（9:00am - 5:30pm)

Session 1 (June 13 - 17)
Session 2 (June 20 - 24)
Session 3 (June 27 - July 1)
Session 4 (July 5 - 8)
Session 5 (July 11 - 15)
Session 6 (July 18 - 22)
Session 7 (July 25 - 29)
Session 8 (August 1 - 5)
Session 9 (August 8 - 12)
Number of Weeks Selected
Additional Options

Lunch $40/weekAfter Camp Care until 6:30pm $25/week
Student Name*

First NameLast Name
Student Grade*
Student Gender*
Birth Date*

MonthDayYear
mm-dd-yyyy
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Parent Name*

First NameLast Name
Parent Email*
Parent Phone Number*

Area CodePhone Number
Has your child taken previous Chinese Lessons?*

YesNo
Does your child come from a Chinese Speaking Background?*

YesNo
Please select your child's Mandarin Proficiency level:*

Can understand some but cannot speak itCan carry basic conversation but cannot read or writeCan speak/understand/read the fundamentals but cannot writeCan speak/understand/read/write but wants to continue learningOther
For payments:

Paypal: erseducationalgroup@gmail.com( please choose “family and friends “, or you will pay 3%service fee).

OR

Zelle: thedolphineducation@gmail.com

OR

Check made to Dolphin Education and Mail to 20432 Silverado Ave. 5A, Cupertino, CA 95014
Should be Empty: