AST Emergency and Medical Information Field Trip Form 台中美國學校學生活動醫療及緊急狀況資訊表
This form needs to only be filled out once, unless something has changed.
此表單只需填寫一次, 如表單內容有異動, 請主動聯絡校方更新資料
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Student Name 學生姓名
Student Cell Phone/LINE ID  學生手機號碼/ LINE 帳號
Student National ID/ARC number 學生台灣身分證/居留證號碼
Student Passport Number ( the one they use for international travel) 學生護照號碼 (境外活動請提供)
Parent/Guardian #1 Name 家長/監護人 #1 姓名
Parent/Guardian#1 Phone 家長/監護人 #1 電話
Parent Guardian #1 Email  家長/監護人 #1 電子郵件
Parent Guardian #2 Name 家長/監護人 #2  姓名
Parent/Guardian #2 Phone  家長/監護人 #2  電話
Parent/Guardian #2 Email 家長/監護人 #2 電子郵件
Expected Graduation Year 預計畢業年份
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Any dietary restrictions? 請問學生在飲食方面是否有特殊限制?
Does your child suffer from any allergies?  請問您小孩對任何事物有否呈現過敏反應?
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