CBCWLA 2025退修會報名表 / Retreat Registration
5/23 – 5/26
Fri. 5:30PM – Mon. 1:30PM
at Biola University

4/27 報名截止 / Registration deadline April 27th

每位成人必須填寫提交一份表格,幾位成人一起攜帶兒童的,請填寫一份「同行兒童」。幾位成人可以一起支付報名費,在「支付費用」部分有詳細說明 / Each adult must submit their own form. If several adults are coming with same group of children, only one needs to fill in the Children section. Several adults can pay the registration fee together, as detailed in the Payment section.
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Email *
語言 / Language *
個人信息 / Personal Info
英文姓名 / English full name *
中文姓名 / Chinese full name
如參加中文退修會,此為必填
性別 / Gender *
以方便安排住宿 / For arranging accommodation
手機 / Mobile *
青少年年齡 / Age of Youth
青少年需註明年齡,以方便安排住宿 / For arranging accommodation
所属團契 / Fellowship *
同行人員 / Companions
同行成人 / Adults
每位成人都需要提交一張表,如需安排同行者入住家庭套間請將同行者姓名填在此處 / Every adult needs to submit their own form, please list the name of your adult companions if they will prefer to stay with you.
同行兒童(2-12歲)姓名與年齡 / Children (Age 2-12) Name and Age
這是多行輸入,請每行輸入一位兒童的姓名以及他們的年齡(如果兒童跟隨幾位成人,只需一位成人填寫) / Please put one child's name and age per line, and hit enter key to input a new line.  If several adults are coming with same group of children, only one needs to fill in this section.
參與住宿 / Attendance
住宿的參與將會影響最終的報名費,具體費用列於表末 / Registration fees are listed at the end of the form
全程參與 / Will attend all
勾選「全程參與」的則可以跳過「部分參與」部分 / You can skip the next section if "will attend all" is checked
部分參與 / Will attend parts
全程參與者可以跳過這個部分 / You can skip this section if "will attend all" is checked
週五 / Fri
週六 / Sat
週日 / Sun
過夜 / Overnight
預留週五晚餐 / Sack Dinner
週五晚餐若需要幫您預留,請打勾(餐廳6:30停止供應晚餐)/ Check if you need a sack dinner on Friday night (cafeteria closes at 6:30)
交通 / Transportation
需要接送 / Need a ride
可提供接送人數 / Can provide ride for number of people
備註 / Remark
有無特別需要 / Any special needs?
比如希望住宿安排在一樓,房間需要哪些設施 / E.g. Special accommodation facilities.
支付費用 / Payment
全程(2025年特別優惠價):
* 成人和青少年 (13歲以上)$100 ;  
* 2-12歲的兒童 $50;
* 2歲以下嬰兒免費。
包含住宿三夜, 饍食九餐及場地費。

三天兩夜:
* 成人和青少年 (13歲以上)$80;  
* 2-12歲的兒童 $40;
* 2歲以下嬰兒免費。
包含住宿兩夜, 饍食六餐及場地費。額外的膳食可以當場自費支付,每餐約$8-11。

兩天一夜:
* 成人和青少年 (13歲以上)$60;  
* 2-12歲的兒童 $30;
* 2歲以下嬰兒免費。
包含住宿一夜, 饍食三餐及場地費。額外的膳食可以當場自費支付,每餐約$8-11。

通勤不過夜:
* 成人和青少年需支付 $20 場地費;
* 兒童和嬰兒免費。
餐點當場自費支付,每餐約$8-11,不含在報名費中。
All Events (2025 Special Discounted Fee):
* $100 per adult and youth at 13+,
* $50 per child at 2-12,
* free for infants under 2.  
Price includes lodging for 3 nights, 9 meals and facility fee.

Three days & Two night (extra meals are not included):  
* $80 per adult and youth at 13+,
* $40 per child at 2-12,
* free for infants under 2.  
Price includes lodging for 2 nights, 6 meals and facility fee. Extra meals can be paid on-site at about $8-11 per meal.

Two days & One night (extra meals are not included):  
* $60 per adult and youth at 13+,
* $30 per child at 2-12,
* free for infants under 2.  
Price includes lodging for 1 night, 3 meals and facility fee. Extra meals can be paid on-site at about $8-11 per meal.

Commuters (meals are not included):
* $20 facility fee per adult and youth at 13+,
* free for children and infants.
Meals can be paid on-site at about $8-11 per meal, not included in the registration.
已繳費金額 / Total Fees Paid *
在提交報名前,請先付費,未付款的報名將在收到付費後才得確認。請通過Zelle支付至教會賬號(accounting@cbcwla.org)備註「Retreat」,沒有網上銀行的弟兄姐妹也可以主日於二樓報名處付現金或支票。此處的金額應該只包括你和你孩子的費用,不包括同行的人。/  Please pay via Zelle to accounting@cbcwla.org before submitting, or it wouldn't be confirmed until being paid. If without online banking, cash or personal check is accepted at registration table on 2nd floor. PLEASE PUT "RETREAT" IN THE MEMO WHEN MAKING PAYMENT. The amount should only cover the cost of you and your children. Any questions regarding payment, please contact accounting@cbcwla.org.
已支付的Zelle帳號 / Zelle Account Which Paid that Amount
報名同工請幫支付現金的弟兄姊妹填表,並用自己的zelle帳戶代付 / Registration helpers please fill this form for the cash payers, and pay for them via your own Zelle account.
聯繫人 /  Contact person
對於這張報名表有任何問題請聯繫 / If you have any question regarding the registration form, please contact.

吳致寬弟兄 / Brother Eric Wu
Email: fellowship@cbcwla.org 
Mobile: 909-614-9226
A copy of your responses will be emailed to the address you provided.
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