2022-23 CBMC Awana Registration form

Chinese Bible Missions Church 羅省華人聖經宣道教會

315 S 2nd Street, Alhambra, CA 91801
2022-2023 Awana Registration Form報名表

One Form per child 每小孩一表格
Opening Day 開課日: 9/11/2022

Closing Day 結業日: 5/14/2023

Time 時間: Sundays 週日 3-5pm

Location: FC Chapel
Please enter your Child's Information Below.
Child's Name 孩子名字*

Last NameFirst Name
Male 男Female 女
Birth Date 出生日期*

MonthDayYear
Child's grade in 2022-2023 孩子在 2022-2023 年的級別*
Sparks: Kindergarten to second grade 幼稚園至二年級

T&T: Third grade to sixth grade 三至六年級
Club Your Child Belong To 孩子所屬隊伍*
Food allergy, special medication attention, etc. 孩子身體健康資料, 如: 食物敏感, 特別醫療需要, 等.

Parent Information 家長或監護人資料:
Parent/Guardian 家長或監護人*
Home Phone Number 住宅電話

Area CodePhone Number
Parent/Guardian Cell Number 家長或監護人手機號碼*

Area CodePhone Number
Parent/Guardian Email 家長或監護人電郵地址
Address*

Street Address

Street Address Line 2

CityState

Zip Code
Do you attend church regularly? 你是否經常參與教會聚會?*
Church Currently Attending 聚會教會名稱*

1. The child stated above has my permission to attend the AWANA Club of Chinese Bible Missions Church of Los Angeles (CBMCLA) on Sundays from 3 pm to 5 pm.
  本人同意上述小孩於逢星期日下午 3 時至 5 時參加羅省華人聖經宣道教會舉辦的 AWANA 會。
2. I agree to direct my child to cooperate and to conform to the fullest with the AWANA Club rules.
  本人願意指導本人的小孩盡力遵守 AWANA 會的會規。
3. I waive all claims against CBMCLA and its leaders for injury, accident, or illness occurring to my child while attending or by reason of the AWANA Club.
  小孩若因參加 AWANA 會時發生意外或受傷,本人不會向羅省華人聖經宣道教會及所有導師追究任何責任
4. Should it be necessary for my child to have medical treatment while participating in the AWANA Club activities, I hereby give CBMCLA permissions to use their judgment in obtaining medical service for the child and I give permissions to the physician selected by the church personnel to render medical treatment deemed necessary and appropriate by the physician.
  若小孩在參加 AWANA 會時遇有緊急和需要立即治療的情況,我允准羅省華人聖經宣道教會同工決定為小孩治療,並允准教會所選的醫護人員為小孩提供合適及所需的治療。
5. I understand that the church has no insurance covering such medical and hospital costs incurred for such treatment, which shall be my sole responsibility.
  我明白教會不會為這些意外事故的治療提供醫療保險,並本人會全權負責所需費用。
6. I allow CBMCLA to take pictures and/or videos of my child and share them with others, including but not limited to social media websites.
  本人授權并許可CBMC將帶有本人小孩肖像的圖片及影片用於各種媒體和出版。
Signature of Parent or Guardian 家長或監護人簽名 *
Signature of Parent or Guardian 家長或監護人簽名 (please type legal full name, 請輸入法定全名)*
Date 日期*

MonthDayYear

Registration Fee 報名費
My Products*
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Registration Fee 報名費 $60.00

Sparks Uniform 小火隊制服$20.00

Size 尺碼

T&T Uniform 見集真理集奇兵隊制服$20.00

Size 尺碼

Total $0.00
You will be redirected to PayPal after pressing the Submit button. Please note that your registration is not completed until you pay.
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Chinese Bible Missions Church 羅省華人聖經宣道教會

2022-2023 Awana Registration Form報名表

Parent Information 家長或監護人資料:

Registration Fee 報名費