Application for Private Kindergarten 中芯幼儿园报名表
You do not have to complete the form all at once. By clicking the Save for Later button at the bottom of the form and providing an email address, a link will be sent to you allowing you to complete the form at your convenience.
It is required that complete student records be provided to SMIC School before admission can be offered to any student. Once submitted, the student records become the property of the SMIC School.
APPLICANT INFORMATION 申请人信息
Preferred Name (English) 申请人姓名
REQUESTED DOCUMENTS 需要的文件
Please upload the following documents. 请上传以下文件
EMERGENCY CONTACT INFORMATION 健康信息与紧急联络表
Please list 3 contacts in case of an emergency (Contacts will be notified in the order they are listed)
APPLICANT'S RESIDENTIAL INFORMATION 申请人的居住信息
Applicant must reside with at least one of the guardians.
MEDICAL AND HEALTH INFORMATION 医疗信息
I give permission for my child to be brought to the kindergarten’s Health Office for treatment, then to a hospital if necessary.若学生在园突发紧急情况时, 您是否同意由保健室将小孩送至医院
If your child requires immediate hospitalization, he/she will be sent to the Pudong Children’s Hospital. If you do not wish for your child to be sent to this hospital, please indicate your preferred hospitals below:
若学生身体情况需转送医院时, 您希望园方将其送至哪家医院; 若无特別指定, 园方将送往浦东儿童医学中心
I hereby give consent for The SMIC Private School and Kindergarten’s faculty, doctors, and medical staff of the SMIC Clinic to administer first aid to my child in accordance to the terms detailed on this sheet. I will not hold the school and/or any of its representatives responsible for any liability resulting from administration of this first aid by these persons. (Information provided on this form will be kept confidential with homeroom teachers and school doctors only).
I understand that, if any information I have provided above is found to be inaccurate, I will be held responsible for any consequences.
我同意，依照上述情况，中芯学校及幼儿园员工、医师、中芯保健中心医护人员可给予我的孩子急救帮助。 对于急救产生的任何后果, 上述人员将不负任何责任.（以上信息由班主任和医务人员掌握，不对外泄露.）
Photograph and Video Release Form 学生影像公开同意书
Pictures and videos are regularly taken and used by SMIC Private School and Kindergarten as students participate in activities and events around the school. Individual and group photos might be used for presentations, the school website portals (which requires a login), LED board, school performances, or WeChat announcements. Teachers may also take and use individual and group photographs for class web pages, WeChat, or for the classroom.
The school and kindergarten may also take pictures and videos for marketing and admissions purposes which includes the public website, local magazines, and school recruitment videos and print materials.
This consent is effective as long as your child is enrolled at SMIC, unless you provide written notice otherwise.