2018 QHC VBS Registration
65-15 164th St. Fresh Meadow NY, 11365
Time: August 13 - August 17 (9 am -12pm)
Contact Person: Pastor Frank Huang
Price: $20 (Check Title: QHC)
Name of Child 孩子名字
Parent Name 父母親名字
Grade in Sept. 九月的年級
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.
Yes I agree
Cash ( Payable at the office) 65-15 164th ST. Fresh Meadow NY, 11365
Check ( Mail to Office: QHC and memo: your child's name) 65-15 164th St. Fresh Meadow NY 11365
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