YBB Spring China

Spring China:

The YBB Cultural Exploration Program is an opportunity for American students to experience immersive cultural exploration in China.
The initiative of this program is to introduce students to life, education and culture in China. Students reach beyond basic tourist travel, delving into local customs and culture, applying Chinese language skills when applicable, and interacting with locals on an interpersonal level. This program is unique because it is people-to-people driven. Students gain an international perspective in one of the most exciting and unique destinations around the globe. They experience the energy of thriving large cities of Beijing and Shanghai, as well as the natural environment of Chongming Island and Fujian. Students travel off the beaten path, cultivate meaningful relationships with local students and families, and develop an exclusive understanding of modern China.

I. High School Student Information

* Indicates required field

Participation Year *

Name *

First

Last

Birthday: (Mm/dd/yyyy) *

Sex *

Female Male Other

school *

grade *

GPA *

psat/sat *

student cell phone number *

student Email *

Home Address *

Line 1

Line 2

City

State

Zip Code

Country

II. Parent Information

Mother's Name *

First

Last

FATHER'S Name *

First

Last

mother's Email *

fATHER'S Email *

mother's cell Phone Number *

father's cell Phone Number *

home Phone Number *

III. Medical Insurance

insurance company name *

insurance group name *

insurance policy no. *

insurance Phone Number *

insurance fax number *

insurance Address *

Line 1

Line 2

City

State

Zip Code

Country

IV. Primary Doctor

doctor name *

doctor Phone Number *

V. Dentist

dentist name *

dentist Phone Number *

Phone Number *

VI. Emergency Care Information and Consent to Enroll

I certify that I fully understand the general rules of C&T Youth Technology Academy (CTYTA) and I agree to obey such rules. In case of an emergency, CTYTA has my permission to take my child to the emergency room of the nearest hospital if I cannot be contacted, and the hospital staff has my authorization to provide treatment that a physician deems necessary for the wellbeing of my child. I, for myself, my heirs, personal representatives, or assigns, do hereby release, waive, and discharge CTYTA, its officers, directors, employees, and agents from liability from any and all claims, including but not limited to, physical or mental injury, illness, death, and property loss arising, from participation in activities of CTYTA. I also understand my image may be used in all photos, video and other media under the YBB program. I consent to have my picture taken and used for YBB related content and materials.

student signature *

date: (MM/dd/yyyy) *

parent signature *

date: (MM/dd/yyyy) *

Submit

Spring China Culture Exploration

I. High School Student Information

II. Parent Information

III. Medical Insurance

IV. Primary Doctor

V. Dentist

VI. Emergency Care Information and Consent to Enroll

Home

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Spring China Culture Exploration​

I. High School Student Information

II. Parent Information

III. Medical Insurance

IV. Primary Doctor

V. Dentist

​​VI. Emergency Care Information and Consent to Enroll

Home

About

Location

Donate

Contact Us

Spring China Culture Exploration

VI. Emergency Care Information and Consent to Enroll