孩子必須在 2022 年 1 月 21 日或之前出生 Child must be born on or before 1/21/2022

Your Email 你的電子郵箱 *

Parent/Guardian Name in Chinese 家长/监护人中文姓名: *

1st Child English Name 第一個孩童英文姓名: *

1st Child Birthday 第一個孩童生日: *

1st child grade in school year (2025-2026) 第一個孩童2025-26年級 *

1st Child 第個孩童 T-Shirt 尺碼 Size *

1st Child Medical information: Medical or other information we need to know. (Please include any food allergies.) 请填写我们必须知道的医疗或其他资料，包括对任何食物的过敏 : "Please put NONE if there is no special info for this child."請填写NONE 如果孩子沒有任何食物的过敏” *

2nd Child English Name 第二個孩童英文姓名:

2nd Child Birthday 第二個孩童生日

2nd child grade in school year (2024-2025) 第二個孩童2024-25年級

2nd Child 第二個孩童 T-Shirt 尺碼 Size:

2nd Child Medical information: Medical or other information we need to know. (Please include any food allergies.) 请填写我们必须知道的医疗或其他资料，包括对任何食物的过敏 : "Please put NONE if there is no special info for this child."請填写NONE 如果孩子沒有任何食物的过敏”

3rd Child English Name 第三個孩童英文姓名:

3rd Child Birthday 第三個孩童生日

3rd Child 第三個孩童 T-Shirt 尺碼 Size

3rd 1st child grade in school year (2024-2025) 第三個孩童2024-25年級

3rd Medical information: Medical or other information we need to know. (Please include any food allergies.) 请填写我们必须知道的医疗或其他资料，包括对任何食物的过敏 : "Please put NONE if there is no special info for this child."請填写NONE 如果孩子沒有任何食物的过敏”

Address 地址 : *

Cell Phone # (手机電話): *

Please write down all the names who can pick up your child at the end of each VBS day 请写下每个 VBS 日结束後, 可以接您孩子的所有人的姓名 *

Emergency Contact 緊急聯繫人 :-- *

May we have permission to photograph your child? (可否給孩童照相？) *

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孩子必須在 2022 年 1 月 21 日或之前出生 Child must be born on or before 1/21/2022