CCIC-Cupertino Children's Program Registration Form For 2018-2019 AWANA
Please input the accurate information. Your registration will NOT be confirmed until you come to church (10455 Bandley Dr, Cupertino, CA 95014) and pay the registration fee (checks only) and fill up a Liability Release form with the medical insurance policy # on the following dates:

Awana Registration Fee (Non-refundable) Awana報名費(不设退回) :
$40 / child / family. Books, Bible, Uniform are not included 每名孩子40元。書本、聖經及制服不包括在內。

2018-2019 AWANA Schedule: 7:30 pm - 9:30 pm Friday 9/7/2018 - 6/14/2019
2018-2019 AWANA 時間表: 週五晚上 7:30 -9:30 9/7/2018 - 6/14/2019

*Requirement: Parents are required to stay in church while their children are attending their classes. You are invited to join any of the following classes: Gospel Groups or Fellowship Groups.

Email address *
Legal Guardian-1's Relationship 法定监护人-1 与孩子关系 *
Legal Guardian-1's First Name 法定监护人-1 名 *
Your answer
Legal Guardian-1's Last Name 法定监护人-1 姓 *
Your answer
Chinese Name ( If none, answer with N/A) 法定监护人-1中文姓名 *
Your answer
Legal Guardian-1's Marital Status 法定监护人-1婚姻狀況 *
Legal Guardian-1's Current Status 法定监护人-1生活狀況 *
Legal Guardian-1's email address 法定监护人-1電郵 *
Your answer
Legal Guardian-1's cell phone 法定监护人-1手機號碼 *
Your answer
Legal Guardian-1's work phone 法定监护人-1公司電話
Your answer
Legal Guardian-1's Faith 法定监护人-1信仰 *
Legal Guardian-1's church 法定监护人-1所屬教會 *
Legal Guardian-1's Fellowship Group 法定监护人-1所屬團契 *
Legal Guardian-2's Relationship 法定监护人-2 与孩子关系 *
Legal Guardian-2's First Name 法定监护人-2名 *
Your answer
Legal Guardian-2's Last Name 法定监护人-2姓 *
Your answer
Chinese Name ( If none, answer with N/A) 法定监护人-2中文姓名 *
Your answer
Legal Guardian-2's Marital Status 法定监护人-2婚姻狀況 *
Legal Guardian-2's Current Status 法定监护人-2生活狀況 *
Legal Guardian-2's email address 法定监护人-2電郵 *
Your answer
Legal Guardian-2's cell phone 法定监护人-2手機號碼 *
Your answer
Legal Guardian-2's work phone 法定监护人-2公司電話
Your answer
Legal Guardian-2's Faith 法定监护人-2信仰 *
Legal Guardian-2's church 法定监护人-2所屬教會 *
Legal Guardian-2's Fellowship Group 法定监护人-2所屬團契 *
I agree to stay at church while my kid is attending the class 当我的孩子在CCIC参加活动时,我愿意留在教会 *
Kid's Current Status 孩子现况 *
Kid's First Name 名 *
Your answer
Kid's Last Name 姓 *
Your answer
Kid's Chinese Name 中文姓名
Your answer
Kid's Current Grade 現在(2018年9月)就讀年級 *
Kid's Gender 性別 *
Kid's Date of Birth 出生日期 *
Kid's School 學校 *
Your answer
Kid's Food Allergies 過敏食物 *
Kid's Special Need 特別需要
Your answer
Kid‘s Home Address 孩子住址 *
Your answer
Kid's Home Phone 孩子家居电话 *
Your answer
Registering for 2018 - 2019 Awana (September 7, 2018 - June 14, 2019) 报名参加2018 - 2019 Awana (2018年9月7日至2019年6月14日) *
Every Friday 7:30 PM ~9:30 PM (see for more information)
Registering for 2nd kid 为第二名孩子註册 *
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