2018 Life Camp Application 青年營 報名表
Email address *
Details/活動細節
報名截止日:8/17
參加年齡:17-35 歲青年
英文同步翻譯
活動地點:上州戶外教育中心
費用: (包括教材、餐飲、3晚住宿)

聯絡: bwya.ny@gmail.com
Taya: 646-525-6666
請早報名 名額有限
報到:8/31 (五)6PM

Deadline: August 17
Qualification: 17-35 yrs. old
Live English translation
Location:Greenkill Retreat Center
Upstate New York
Fees: All-Inclusive

E-Mail: bwya.ny@gmail.com
Taya: 646-525-6666
Sign up early. Space is limited.
Registration: Fri, 8/31 at 6PM
The camp is Fri, 8/31 (6pm) - Mon, 9/3 (6pm), will you attend all 3 days 3 nights? 你會參加全程嗎 (8/31 6pm - 9/3 6pm)?: *
Required
If you can't attend all 3 days 3 nights, please explain 如果不能參加全程, 請解釋
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Basic Info 基本資料
Last Name 姓名 *
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First Name 名字 *
Your answer
中文姓名
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Age 年紀 *
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Date of Birth 生日
MM
/
DD
/
YYYY
Gender 性別 *
Cell Phone Number 手機號碼 *
212-635-8888
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Other Ways to Reach You 請留下您的聯絡方式
Facebook
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Line
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Wechat
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Language/語言
Place of Birth 出生地
Your native language 你的母語 *
Required
Language Preferences for Classes 上課希望使用何種語言
Do you need verbal translation? 需要翻譯嗎?
Live translation provided
Education Background 學歷
Are you currently a student? 您是學生嗎? *
Current school or school graduated from 就讀學校或畢業學校 *
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Major 主修 *
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Year in School 年級
Occupation 職業 *
If student, enter "student"
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Do you have any religious beliefs? 宗教信仰
Religious belief 宗教信仰
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Special Needs, Food Allergies 特殊需求, 食物過敏
Diet/Accommodations/others (飲食、障礙設施等…)
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Emergency Contact Person 緊急聯絡人
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Emergency Contact Phone Number 緊急聯絡電話
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Referral name 介紹人名字
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Names of friends coming with you ㄧ起報名參加同學名字
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How did you hear about this camp? 您如何知道這次的營隊?
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