2019 VBS - Glory CBC
Aug 5-9 (M-F), 2-6pm

Glory Chinese Baptist Church
6135 Holiday Lane,
North Richland Hills, TX 76180
GloryCBC.org

Untitled Title
Child's Last Name *
孩子姓 (英)
Your answer
Child's First Name *
孩子名 (英)
Your answer
Parent/Guardian’s Name *
父母/監護人姓名
Your answer
Address *
本地住址
Your answer
Email Address *
電子郵箱
Your answer
Home Phone Number *
電話 (家);若無,填「N/A」 。N/A if not available.
Your answer
Cell Phone Number *
電話 (手機)
Your answer
Work Phone Number
電話 (工作)
Your answer
Main Contact Number *
主要聯繫電話
Child’s Date of Birth *
孩子生日
MM
/
DD
/
YYYY
What grade will your child be in 2019 Fall? *
孩子 2019 秋季新學期將升上幾年級?
Child's T-Shirt Size *
孩子衣服尺寸
EMERGENCY CONTACT #1 of 2 *
緊急連絡人 #1: 請提供兩位緊急聯絡人姓名與電話 Please provide TWO Contact person's name & phone number other than ones listed above.
Your answer
EMERGENCY CONTACT #2 of 2 *
緊急連絡人 #2: 請提供兩位緊急聯絡人姓名與電話 Please provide TWO Contact person's name & phone number other than ones listed above.
Your answer
MEDICAL INFORMATION *
醫療資訊:請列出孩子的任何特殊醫療需求,包括所有過敏源(食物)。 Please list any medical or health information that we need to know. Also include any ALLERGIES. N/A if not applicable.
Your answer
RIDE *
來參加VBS時,您的孩子需要教會派車接送嗎?Does your child need a ride to VBS?
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