2018 QHC VBS Registration
65-15 164th St. Fresh Meadow NY, 11365
Time: August 13 - August 17 (9 am -12pm)
Contact: 718-463-8462
Contact Person: Pastor Frank Huang
Price: $20 (Check Title: QHC)
Ages: 5-12
Email address *
Name of Child 孩子名字 *
Your answer
Parent Name 父母親名字 *
Your answer
Grade in Sept. 九月的年級 *
Your answer
Address 地址 *
Your answer
Phone 電話 *
Your answer
Allergy 過敏 *
Your answer
T-Shirt Size (Youth Size) *
As a parent/ guardian of a participant in this program, i recognize and acknowledge that there are certain risks of physical injury and i agree to assume the full risk of any injuries, damages or loss which i or my ward my sustain as a result of participating in any and all activities connected, or in any way associated with the activities of this program. *
Parent Signature *
Your answer
Payment $20 *
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