KIDS ROCK Registration
Are you new to KIDS ROCK?
Register to become a part of the family!
Child's English Name / 영어 이름 *
Child's Korean Name / 한국 이름 *
Date of Birth / 생년월일 *
MM
/
DD
/
YYYY
Legal guardian #1 (Name) / 보호자 #1 성함 *
Relationship to Child / 아이와의 관계 *
Contact # / 연락처 *
Email Address / 이메일 주소 *
Home Address / 집주소 *
Church Membership Number / 교인번호
Legal guardian #2 (Name) / 보호자 #2 성함
Relationship to Child / 아이와의 관계
Contact # / 연락처
School Name / 학교 이름
Grade / 학년 *
Age Department / 부서 *
Does your child have any allergies or medical conditions? (자녀가 질병이나 알러지가 있나요?) *
If yes, please specify (있다면 구체적으로 알려주세요)
Does your child have special needs or one-on-one assistance? (자녀가 특수교육이나 일대일 지원이 필요한가요? *
Is your child potty-trained? (자녀가 배변훈련이 되었나요?) *
If no, do you give us consent to take your child to the restroom / change dirty diapers? (배변훈련이 안 되었다면 자녀의 화장실 이용과 기저귀 교체를 허락하시나요?)
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I, the parent or legal guardian of this child, grant New Life Vision Church my permission to use the photographs for any legal use, including but not limited to: publicity, copyright purposes, illustration, advertising, and web content. Furthermore, I understand that no royalty, fee or other compensation shall become payable to me by reason of such use. *
Is there anything else you would like us to know? (저희에게 알려주실 추가 사항이 있나요?)
By typing my name below, I understand and agree that this form of electronic signature has the same legal force and effect as a manual signature. *
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