2025 CEACT Vacation Bible School - Registration and Consent Form

2025 Vacation Bible School Registration Form

Chinese Evangelical Alliance Church of Toronto
Camper's Name 孩子姓名:*

First Name 名字Last Name 姓氏
Birth Date 生日:*

Month 月Day 日Year 年
Gender 性別:*

Male 男Female 女
Current Grade 現在的年級:*
We accept campers currently in JK (need to be enrolled in JK at school) to Grade 6. 孩子需是目前就讀 JK (目前必須在學校註冊為JK) - Grade 6。
Health Card Number 健保卡號碼:*
Name of Family Doctor 家庭醫師名字:*

T-shirt Size (Child Size) T恤尺寸兒童尺寸):*

Small (6-8)Medium (10-12)Large (14-16)
For which days does the camper require AFTER camp care (4pm – 5:30pm, $6 per day) ? 孩子哪幾天需要營會後的託管（下午4點至5:30點, $6 per day）？*

I will not require any after camp care 不需要營會後的託管Monday, July 28Tuesday, July 29Wednesday, July 30Thursday, July 31 (Field trip 郊遊日)Friday, August 1
Allergies or Other Medical Conditions 過敏或是其他疾病:
Home Church (if applicable) 固定參加的教會 (若有的話):

Parent/Guardian Information 家長或監護人姓名:*

First Name 名字Last Name 姓名
Address 地址:*

Street Address

Street Address Line 2

CityProvince

Postal / Zip Code
Phone Number 電話:*
Please leave a number that we can reach you during camp hours. 請留一個在營會期間能聯繫到您的號碼。
E-mail:*
We will send you important information about the camp through email. 我們會用電郵寄送有關營會的重要資訊。

Do you have legal custody of the child who is being registered? 您是否是註冊孩子的法定監護人？*

YesNo
Emergency Contact Name (other than parent) 除了您以外的緊急聯絡人:*
In the case that we are unable to reach you in an emergency, please provide someone we can contact. 如果我們在緊急情況下無法聯繫到您，請提供其他可聯繫的人選。
Emergency Contact Number 緊急連絡人電話:*

Payment and Contact Information 付款及聯絡資訊
1. Camp fee ($185.00) + after care fee ($6/day if applicable) is payable (e-transfer) to epay@ceact.ca
2. Please note that the registration is NOT completed until your payment is confirmed.
3. Please contact Betty Jr. at yl.betty@ceact.ca if you have any questions.
4. Please complete the registration form and pay the fees by Sunday, March 23rd, 2025.
5. Please put "VBS", the amount paid, name(s) of the child(ren), and email address (that is linked to the sender's bank account) in the e-transfer message field.
6. You will receive a confirmation email with a receipt once the camp fee is received. We manually process the payment so please allow about a week for us to process your e-transfer. In the unforeseen circumstances where a refund is required, the camp fee will be returned automatically to the e-mail we receive the e-transfer from.
7. You may request a refund before Sunday, May 4th. We will refund $165 (20 dollars admin fee) to the e-mail address that we receive the e-transfer from. Sorry, no refunds after May 4th.
1. 請用 e-transfer 繳交夏令營費用（$185.00）+ 營會後託管費用 ($6/天 if applicable) 至 epay@ceact.ca。
2. 請注意，只有在我們收到您的付款後，註冊才算完成。
3. 如果您有任何問題，請聯繫 Betty Jr. ( yl.betty@ceact.ca )。
4. 請於2025年3月23日（星期日）之前完成註冊表格並支付費用。
5. 請在電子轉賬留言欄中填寫 “VBS”、“支付金額”、“孩子（們）的姓名”和電郵 (e-transfer 付款人銀行帳戶的電郵)。
6. 我們收到夏令營費用時，您將會收到確認郵件及收據。我們大約一週會 email 確認信。在需要退款的意外情況下，夏令營費用將自動退還至您付款的電子郵件地址。
7. 如果您在5月4日之前要求退款，我們會退$165 (需扣$20.00行政費)至您付款的電子郵件地址。很抱歉，5月4日後我們將無法辦理退款。

Sunscreen Application Consent Form 防曬霜塗抹同意書
Sunscreen Application 防曬霜塗抹:*

I hereby authorize CEACT personnel (camp director or volunteers) to provide my child with a commercial brand sunscreen lotion for his/her application in the case that my child forgets to bring his/her sunscreen. I agree to release, indemnify, and hold harmless CEACT and any of their staff and volunteers from lawsuits, claim, expense, demand, or actions against them for the application of sunscreen lotion for my child. 我同意CEACT人員（夏令營主任或志願者）可在我孩子忘記攜帶防曬霜時，為他/她提供商業品牌的防曬霜。同時，我同意不會因為塗抹防曬霜產生的任何責任而起訴、索賠CEACT及其工作人員和志願者，也不會因此對CEACT及其工作人員和志願者採取任何行動。I DO NOT give permission for the camp director and volunteers to provide my child with a commercial brand sunscreen lotion in the case that my child forgets to bring his/her sunscreen. 我不同意夏令營主任和志願者在我孩子忘記攜帶防曬霜的情況下為他/她提供商業品牌的防曬霜。
Photographic & Social Media Consent Form 攝影及社交媒體同意書
Photographic and Social Media 攝影和社交媒體:*

I hereby authorize CEACT personnel (camp director or volunteers) to take photos or videos of my child. I give permission for CEACT to use these images and videos on the CEACT website, YouTube channel, newsletters, and other publications. These images and videos may be distributed to members. I further acknowledge that my child’s image and videos may be used by CEACT for promotions in the future. I understand that no personal information, such as names, will be used in any publications unless express consent is given. 我同意 CEACT人員（夏令營主任或志願者）攝影或錄影我的孩子。我同意讓這些影像和錄影被用於CEACT網站、YouTube頻道、通訊和出版物，並分發給成員。我明白我孩子的影像或錄影可能被CEACT用於宣傳。我了解除非CEACT獲得我的明確同意，任何出版物中不會有孩子的個人信息 ( 如姓名 )。I DO NOT give consent for CEACT to use my child’s personal images. 我不同意CEACT 使用我孩子的個人影像。

Release Statement 放行聲明
I hereby consent to the participation of my child in all of CEACT VBS 2025 supervised activities including Bible studies, indoor and outdoor recreational games, crafts, field trips, and lunch and snack times.

I, the Parent or Guardian named below, authorize the Director or one of CEACT personnel to sign consent for medical treatment and to authorize any physician or hospital to provide medical assessment, treatment, or procedures for the my child named below.

I, named below, accept responsibility for any harm, loss, or injury my child might experience as a result of being part of the activities of VBS 2025. I won't hold CEACT, its volunteers, its Personnel, its Leaders, or Board accountable. This also applies to any medical treatment authorized by the church representatives overseeing VBS 2025. I won't hold CEACT, its volunteers, its Personnel, its Leaders, or Board accountable of the results from a medical emergency treatment. This consent and authorization is effective only when participating and travelling to CEACT VBS 2025 events.

I have read, understood and agree with above.

我特此同意我的孩子參加CEACT 2025年的所有監督活動，包括聖經課程、室內和室外娛樂遊戲、手工勞作、郊遊、午餐和點心。

我，下面簽名的父母或監護人，授權CEACT夏令營主任或工作人員簽署醫療治療同意書，並授權任何醫生或醫院對我的孩子進行醫療評估、治療或程序。

我，下面簽名的，我同意自行負責我的孩子在活動期間可能遭受的任何傷害、損失或受傷。我同意不會追究CEACT、其志願者、員工、領導者和董事會的責任。同時，這也適用於由教會授權監督該活動的代表所同意的緊急醫療治療。我同意不會追究CEACT、其志願者或員工的因緊急醫療治療所產生的結果。此同意和授權僅在參加或前往CEACT 2025 VBS活動時有效。

我已閱讀、理解並同意上述內容。
Child's Name of Consent 同意書的孩子姓名:*

First Name 名字Last Name 姓氏
Parent or Guardian Name 家長或監護人姓名:*

First Name 名字Last Name 姓氏
Today's Date 今天的日期:*

MonthDayYear
Date 日期
Time 時間 MinutesAM/PM Option
By submitting this form, I give consent to Chinese Evangelical Alliance Church of Toronto of the above statements.

透過提交此表格，我授權多倫多中華福音宣道會上述內容。

Do you have any questions or things we need to know? 請留下任何問題或是我們需要知道的事情。
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2025 Vacation Bible School Registration Form

Payment and Contact Information 付款及聯絡資訊

Sunscreen Application Consent Form 防曬霜塗抹同意書

Photographic & Social Media Consent Form 攝影及社交媒體同意書

Release Statement 放行聲明