Children's Ministry Registration Form
Registration Form and Agreements
* Required
Email address
*
Your email
Parent's Name 家長姓名
*
Your answer
Parent's Phone 家長電話
*
Your answer
Relationship with children 與孩童的關係是
*
Choose
Father 父親
Mother 母親
Grandfather 祖父
Grandmother 祖母
Relative 親戚
Other其他：Neighbour 鄰居/ Friend 朋友/
Home Address 住址
*
Your answer
Home City 城市
*
Your answer
Zip Code 郵政編碼
Your answer
Father's or Mother's information 父親或母親的資料
(若與上面家長資料不同或填寫資料者不是孩童父母親時，請填下面資料）
Father's or Mother's Name 父親或母親的姓名
Your answer
Father's or Mother's Phone 父親或母親的聯絡電話
Your answer
Emergency contact person 緊急聯絡人（Beside parents 除了父母之外的人）
Your answer
Emergency person's phone number 緊急聯絡人電話
Your answer
Relationship with child 和小孩的關係
Your answer
How many children are there in your family at age under 12? 家中有幾位小學(12 歲)以下的兒童？
*
1
2
3
4
5 and above
Required
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