Clone of 2025 CEACT Vacation Bible School - Registration and Consent Form

2026 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
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:

Small (6-8)Medium (10-12)Large (14-16)
I will not require any after camp care 不需要營會後的託管Monday, July 27Tuesday, July 28Wednesday, July 29Thursday, July 30 (Field trip 郊遊日)Friday, July 31
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。Format: (000) 000-0000.
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。
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:*
Format: (000) 000-0000.

Permission of Field Trip Transportation Form 戶外教學同意書

Thursday July 30th, 2026 is our field trip day and we plan to take a school bus to and back from the field trip location (Ripley's Aquarium of Canada, 288 Bremner Blvd, Toronto, ON M5V 3L9). We need your permission to transport your child in the school bus.If you do not wish to give permission, you will need to arrange your own transportation to and from Ripley's Aquarium of Canada. Otherwise, please keep your child home for Thursday July 30th,2026. We have no alternative programming for the day. 2026年7月30日（星期四）為本次校外教學日，我們計畫乘坐校車前往及返回校外教學地點（水族館,地址：288 Bremner Blvd, Toronto, ON M5V 3L9）。我們需要得到您讓孩子搭乘校車的允許。若您不願意給予同意，您需自行安排孩子往返水族館的交通；否則，請於2026年7月30日（星期四）讓孩子留在家中。本日將不提供其他替代活動安排。
Yes, I give permission for my child to be transported in a school bus. 是的，我同意讓我的孩子搭乘校車前往及返回校外教學地點。No, I do not give permission for my child to be transported in a school bus. I will arrange my own transportation to and from Aquarium. 不，我不同意讓我的孩子搭乘校車。我將自行安排孩子往返水族館的交通。No, I do not give permission for my child to be transported in a school bus. My child will stay home for July 30th, 2026. 不，我不同意讓我的孩子搭乘校車。我的孩子將於 2026 年 7 月 30 日留在家中。
If you wish to give permission, please type your name below. Otherwise, type "NA". By typing my name, I accept responsibility for any harm, loss, or injury my child might experience during the trip. I won't hold CEACT, its volunteers, or staff accountable. This also applies to any medical treatment authorized by the church representatives overseeing the trip. I won't hold CEACT, its volunteers, or staff accountable of the results from a medical emergency treatment. This agreement is only valid to and from the fieldtrip. 如您願意給予同意，請在下方輸入您的姓名；若不願意，請輸入「NA」。輸入姓名即表示我接受責任，如我的孩子在校外教學期間發生任何傷害、損失或意外。我不會追究CEACT、其志願者或工作人員的任何責任。此責任免除亦適用於由教會代表在校外教學期間授權的任何醫療處置。我不會追究 CEACT、其志工或工作人員因醫療緊急處置所產生的結果。本同意僅適用於前往及返回校外教學期間。*

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Sunscreen Application Consent Form 防曬霜塗抹同意書
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
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。

Optional: EpiPen Authorization & Release Form 腎上腺素注射劑使用授權與責任免除同意書

If your child may require the use of an EpiPen, this form must be properly completed. Please notify the VBS Director, Joyce Ho, once you have submitted this form. Feel free to let her know if you have any questions. 如果您的孩子可能需要使用 EpiPen，請務必完整填寫此表格。表格提交後，請通知 VBS 主任 Joyce Ho。若您有任何疑問，也歡迎隨時與她聯繫詢問。
YesNo
Yes 是的No 沒有Other
I agree 我明白
Please type your name below. By typing my name, I hereby authorize CEACT personnel to administer epinephrine injection (EpiPen) to my child mentioned above if he or she has known exposure and/or a severe allergic reaction to a specified allergen. 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 administering the EpiPen prescribed for my child. I am aware that the injection may be administered by a trained staff member or volunteer who is not a healthcare professional. 請於下方輸入您的姓名。輸入本人姓名即表示，我特此授權 CEACT 工作人員在我的孩子因接觸已知過敏原而出現嚴重過敏反應時，為上述孩子施打腎上腺素注射劑（EpiPen）。本人同意免除、賠償並保障 CEACT 及其所有工作人員與志願者之責任，不因其為我的孩子施打所處方之 EpiPen 而對其提出任何訴訟、索賠、費用、要求或法律行動。本人了解，該注射可能由已受訓之工作人員或志願者執行，且其並非醫療專業人員。

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Payment and Contact Information 付款及聯絡資訊
1. The camp fee is $200. It includes one camp T-shirt, two daily snacks, a field trip, and Friday pizza lunch (campers must bring their own lunch Monday–Thursday). After Care is available for $6/day. Please submit payment via e-transfer to epay@ceact.ca
2. Please include the follwoing informaiton when sending your payment: "VBS", the amount paid, the name(s) of the child(ren), and the email address linked to the sender's bank account in the e-transfer message field (e.g., VBS, 206, David, After Care +1 day, xxx@gmail.com).
3. Registration is not complete until payment is confirmed. Registration closes on April 5, 2026.
4. Refund requests must be made by Monday, July 13. A $50 administrative and materials fee will be deducted, and the remaining balance will be refunded to the original payment email. No refunds will be accepted after July 13.
5. Please contact Keira at keira@ceact.ca if you have any questions.
1. 夏令營費用為 $200。所繳費用包含一件營隊 T 恤、校外教學（Field Trip）、每日兩份新鮮手工製作點心，以及週五的披薩午餐（週一至週四營員需自備午餐）。如需課後照顧（After Care, 費用為 $6／天)。請以 e-transfer 方式將費用匯至 epay@ceact.ca。
2. 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 付款人的電郵)。例如：VBS, 206, David, After Care +1 day, xxx@gmail.com
3. 請注意，報名手續僅在我們收到全額付款後方視為完成。報名於4月5日截止。
4. 退款申請須於 7 月 13 日（星期一）前提出。退款將扣除 50 元行政及教材費，其餘款項將退回原付款電子郵箱。7 月 13 日後恕不接受退款申請。
5. 如果您有任何問題，請聯繫 Keira (Keira@ceact.ca)。
Release Statement 放行聲明
I hereby consent to the participation of my child in all of CEACT VBS 2026 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 2026. 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 2026. 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 2026 events.

I have read, understood and agree with above.

我特此同意我的孩子參加CEACT 2026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 2026 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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2026 Vacation Bible School Registration Form

Permission of Field Trip Transportation Form 戶外教學同意書

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

Optional: EpiPen Authorization & Release Form 腎上腺素注射劑使用授權與責任免除同意書

Payment and Contact Information 付款及聯絡資訊

Release Statement 放行聲明