聖道中文學校報名表 ECBC School Registration Form
5110 Marine Dr. Barnaby, B.C. V5J 3G6
604 438-3222 email: ecbcschool@gmail.com
www.ecbc.org
Email address *
小朋友姓名 Student Name *
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家長姓名 Parents's name *
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家長電話 Contact phone number *
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出生日期 Date of birth *
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地址 Address *
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所居城市 *
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有沒有食物過敏? *
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如果有食物過敏請詳細說明
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免責簽屬 您在以下方塊打勾已承認我們的免責條款Release of All Claims In consideration of being accepted by Evangelical Chinese Bible Church for participation in the ECBC Mandarin School in the year of 2018, I, on behalf of my child-participant, do hereby release, forever discharge and agree to hold harmless Evangelical Chinese Bible Church and the directors thereof from any and all liability, claims or demands for personal injury, sickness or death as well as property damage and expenses, of any nature whatsoever which may be incurred by the undersigned and the child-participant that occur while said child is participating in the above described trip or activity.Furthermore, I, on behalf of my child-participant hereby assume all risk of personal injury, sickness, death, damage and expense as a result of participation in recreation and work activities involved therein.Further, authorization and permission is hereby given to said church to furnish any necessary transportation, food and lodging for this participant.The undersigned further hereby agree to hold harmless and indemnify said church, its directors, employees and agents, for any liability sustained by said church as the result of the negligent, willful or intentional acts of said participant, including expenses incurred attendant thereto.I am the parent or legal guardian of this participant, and hereby give my permission to take said participant to a doctor or hospital and hereby authorize medical treatment, including but not limited to emergency surgery or medical treatment, and assume the responsibility of all medical bills, if any.Further, should it be necessary for the participant to return home due to medical reasons, disciplinary action or otherwise, I hereby assume all transportation costs.I hereby give consent for ECBC Church to use photographs of my child for church ministry purposes. *
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