2019-北美华人华裔寻根协会-侨联冬令营 - 营员登记表(Xungen Winter Camp Online Registration)
“中国寻根之旅”冬令营 - 江苏南通营

营期:2019年12月22-31日
招收30名 12 - 18 周岁海外青少年(要求身心健康、生活自理)

主办单位:中华全国归国华侨联合会(中国侨联)
承办单位:江苏省侨联、南通市侨联、南通赤子情华侨图书馆
协办单位:江苏省南通职业大学
海外招生单位:北美华人华裔寻根协会

*营员个人信息,请按护照上的信息准确填写,侨联将用于预定旅馆和购买意外保险,如因填写错导致失效,后果自己承担。
​中国驻纽约总领事馆孙领事和颜领事为北美华人华裔寻根协会授2019年“中国寻根之旅”营旗
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营员中文姓名(Name in Chinese) *
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营员英文名,请按护照名字填写(Name as on Passport) *
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营员性别(Gender) *
营员生日,年-月-日 (Birthday, yyyy-mm-dd) *
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营员国籍(Citizenship) *
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营员护照失效期(Passport Expiration Date) *
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所在国家(Country) *
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所在州(State) *
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所在城市(City) *
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通讯地址(Mailing Address) *
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营员身高cm、体重kg、衣码(T-Shirt Size, Adult S/M/L/XL/XXL) *
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宗教信仰
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饮食禁忌(Food Restriction) *
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重大病史(Major Medical History) *
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过敏史(Allergies) *
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家长姓名(Parents Names) *
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家长手机(Parents' Cell Phone #) *
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国内营期紧急联系电话(Emergency Contact # during Camp) *
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是否有小朋友一起报名,请列出名字(Registering with Friends, Please List)
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是否希望跟随领队旅行,请说明单程或双程(If wish to travel with a chaperon from/to USA, please explain one-way or both ways.)
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以前是否参加过寻根夏令营,哪一个以及大致时间(Has participated Root-Seeking camp before?)
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其他需要说明的有关事项,比如中文程度、比如已交了今年的注册费$50... (Misc.)
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