EFCLA CM Dept. 2017~18 Registration Form 2017~18 學年度 洛福兒童事工註冊單
Please note, you have to complete all sections in order to proceed to next page.
親愛的家長及監護人 您須要填寫所有有 * 字樣的空格才能前進到下一頁
Date 填表日期 *
MM
/
DD
/
YYYY
First Time Registrar 您是第一次註冊嗎? *
Parents' / Guardian's First Name 家長 / 監護人名字 *
Same as your ID 請與您的有效證件相同
Your answer
Parents' / Guardian's Last Name 家長 / 監護人姓氏 *
Same as your ID 請與您的有效證件相同
Your answer
Mobile Phone Number 行動電話 *
Please use the format of xxx-xxx-xxxx - This number will be used as primary contact and text number, please double confirm the number before you go to next question (這號碼會被用作主要聯絡及短訊的號碼, 請一定要確認號碼無誤)
Your answer
Home Phone Number 家中電話
Please use the format of xxx-xxx-xxxx
Your answer
E-mail 電子郵件 *
Example: 123@efcla.org - This e-mail will be used as primary contact e-mail, please double confirm before you go to next question (這電郵地址會被用作主要聯絡的電郵, 請一定要確認正確無誤)
Your answer
Address 地址 *
The address where you currently live in 您現在的居住地址
Your answer
City 城市 *
The city where you currently live in 您現在的居住城市
Your answer
Zip Code 郵政號碼 *
The zip code where you currently live in 您現在居住的郵政號碼
Your answer
Emergency Contact Person 緊急聯絡人
If you don't fill out, parents or guardian above will be the emergency contact person 空白會以家長或監護人為緊急聯絡人
Your answer
Emergency Contact Number 緊急聯絡人電話
Please use the format of xxx-xxx-xxxx
Your answer
CM Department of EFCLA will have activities and events during the school year. In order to record these memories, we will take photo or record video. Your children may be included.The photo and video (including his / her name) may also be published to church's bulletin board, website, and facebook. 洛福兒童事工部門在每一個學年都會有一些活動, 我們會用相片或錄影來記錄這些活動, 您的孩子 (包含他/她的名字)也可能會在其中, 這些照片或錄影也有可能會被發佈在教會的公佈欄及網站或臉書上.
Do you agree your child / children portrait and name to be published? 您同意你孩子的肖象和名字被公佈在教會的公佈欄以及網站和臉書上嗎? *
Click "Next" to Continue (Please be sure to fill out all empty spaces with " * " mark)
按 “Next" 去到下一頁 (請確認所有帶有 " * " 號的空格都已經填了)
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