2019 Chung Tian Temple Children's Happy Camp Application
Email address *
英文名 First given name *
Your answer
英文姓 Surname or family name *
Your answer
出生日期 Date of birth *
MM
/
DD
/
YYYY
性別 Gender *
需要特別醫療照顧 Health conditions *
Please specify any medical conditions or allergies to food/medicine.
Optional: Please place my child in the same group as:
Please provide full name. We will consider your group preferences but we cannot guarantee all your requests will be met.
Your answer
Would you like to register a second child? *
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