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 *
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?)
Clear selection
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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