Church Retreat Registration Form

Victoria Chinese Alliance Church 2025 Church Retreat

域多利華人宣道會 2025 年教會退修會

Sept 12th – 14th, 2025 9月12-14日 Camp Imadene

REGISTRATION FORM 報名表

Registration Information 報名資料*

	English First Name & Last Name 英文名	Chinese Name 中文名	Age Range 年齡段	Gender 性別	Preferred Language 首選語言	Accepted Christ 是否已經信主	Food Allergy 過敏食物
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Main Applicant Phone Number 電話號碼*

Please enter a valid phone number.

Main Applicant Email 電郵*

example@example.com

Emergency Contact 緊急聯繫人*

	Name 名字	Relationship 關係	Phone Number 電話號碼
Contact 聯繫人

How would you like to receive updates primarily from Church Retreat 2025? 你希望主要透過哪一種方式接收 2025 年退修會的最新消息？*

WhatsApp Group 群組WeChat 微信Text Message 短訊Email 電郵I don't want to receive updates electronically. Contact me in person if there is any update. 不要用電子方式聯係我。如有任何消息請聯係本人。

What is your area code for WhatsApp? 你的WhatsApp地區號是什麽？

Canada 加拿大 +1Hong Kong 香港 +852

WhatsApp Phone Number

Please enter a valid phone number.

WhatsApp Phone Number

Please enter a valid phone number.

Text Message Phone Number

Please enter a valid phone number.

Age	Number of People	Price
Age 3 or Over		$205.00CAD
Under Age 3		$0.00CAD

Age	Number of People	Price
Age 3 or Over		$95.00CAD
Under Age 3		$0.00CAD

	Name 名字	Children Ministry 兒童事工	Photographer 攝影師	Sound Room 音響室	急救 First Aid	Activity Helper 活動幫手	Time Keeper 時間管理員
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	Name 名字	Turbo Cart 渦輪卡丁車 $10/person	Laser Tag 雷射搏擊 $10/person
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