2019 矽谷基督徒聚會暑期聖經學校註冊表 SVCA VBS Registration

One Family, One Race, One Savior

主題：同一家庭，同一族類，同一救主

When: June 17~21, 9:30AM-12:30PM

時間：2019/6/17-6/21,9:30-12:30

Who: Children currently in K to 5th grade

受眾：目前幼兒園大班（K）至五年級學生

Where: Silicon Valley Christian Assembly, 3131 Bowers Ave., Santa Clara

地點：矽谷基督徒聚會，3131 Bowers Ave, Santa Clara

What: Worship, skits, message. craft, games, water fight, yummy lunch and new friends!

活動：敬拜，手工，遊戲，打水仗，美食和新朋友

Visit www.svca.cc or call 408-988-1888 for more details.

Join us for the race!

詳情請上矽谷基督徒聚會所網站或致電408-988-1888

Registration Fee 註冊費

Early Bird (on/before 4/30/2019): $45（Lunch provided）

提前註冊優惠價（4/30之前）：$45（包午餐）

Regular (after 4/30/2019): $65（Lunch provided）

正常註冊費（4/30之後）：$65（包午餐）

Registration deadline 註冊截止日

June 02, 2019, space is limited

Lunch provided, check in from 9:15am to 9:30 am, and pick up time 12:30 PM each day

6/2/2019. 每天9:15至9:30簽到，12:30結束

Birthday before 9/1/2014 to 6th grade entering Fall 2019

(Proof of age may be required upon request)

The priority of the registration will be processed in the order received. The registration will be closed when the space is filled or the deadline is met, whichever is first. VBS will inform you with full refund if your child is not accepted to the program.

孩子的年齡不可小於2014/9/1，也不可大於今年九月升六年級的孩子

如有查詢，請準備好出示孩子的年齡證明

孩子的註冊優先順序是根據其註冊的時間早晚。一旦註冊滿員或到註冊截止日，註冊會自動停止。

CODE OF CONDUCTS:

Children participating in VBS are expected to respect their teachers and staffs, and follow their instructions. Children are also expected to be courteous to one another. Violators of the code of conducts may be removed from their groups and/or activities. Parents may be called to pick up their child for persistent violations.

行為守則

參加聖經暑期班的學生必須懂得尊重老師和工作人員，遵循行為規範，並懂得同學之間相互禮貌待人。嚴重違規者會被停止參與活動。屢教不改者會通知父母提前帶他們離開。

Student Information (required, one student per form)學生信息（要求每個學生一張表）

Full Name （全名）*:

Date of Birth (must be before 9/1/2014) （生日）*：

Grade in Fall 2019（2019秋季年級）*：

Home Address if different from Custodian’s Address above（住址，如果不同於監護人的話）*：

T-shirt size (please choose one)（T-shirt 尺寸）*:

XS S M L XL

Custodian 1 Information (required) 孩子監護人1 (必填)

Full Name （全名）*:

Relationship to Student（與孩子關係）*:

Cell Phone（手機）*:

Work Phone（工作電話）:

Home Address（住址）*：

Email（電子郵箱）*:

This address will receive a confirmation email

WeChatID if available（微信註冊名，如果有的話）

Custodian 2 Information (optional) 監護人2（選填）

Full Name（全名）:

Relationship to Student（與孩子關係）:

Cell Phone（手機）:

Work Phone（工作電話）:

Email（電子郵箱）：

Home Address（住址）：

WeChatID if available（微信註冊名，如果有的話）：

I do not wish my child to participate in the following:*

Any special needs or food allergy for your child*:

VBS Volunteer（暑期班義工註冊）

Will any custodian be interested in VBS Volunteering（請問監護人有意向參與暑期聖經班的義工活動嘛？

Yes No

If Yes, choose your T-shirt size (please choose one)（如果有意向參於，請提供義工T shirt 尺寸） S M L XL

Activities that you may interest in help :
Traffic Control, Kids Check-in, Kids Check-out, Parent Patrol, Room Parent, Chef, Food Setup, Cleaning
Please sign up on this Sign-up Sheet.

請在義工活動表上填寫您願意提供的義工項目（交通管理，孩子簽到和簽出，值班家長，課堂家長，廚師，點心午飯餐具擺放，清潔）

Emergency Contact Person (required)緊急聯繫人（必填）

Full Name （全名）*:

Relationship to Student（與學生關係）*:

Phone #1（電話1）*：

Phone #2（電話2）：

Insurance Information (required) 保險信息（必填）

Insurance company（保險公司）*：

Member ID（成員ID）*:

Group #（組號）*:

Physician（醫生）*：

Phone（電話）*：

Liability Waiver (required)責任免除（必填）*

I, the undersigned parent or guardian, hereby consent to my child/children (names on registration) participating in the Silicon Valley Christian Assembly(SVCA) Vacation Bible School activities, including classroom, assemblies, craft, recreation, sports, water fight, snack and lunch, an event sponsored by SVCA on June 17-21, 2019. I understand that pictures and videos will be taken of children participating in various Vacation Bible School activities. I, in consideration of participation in VBS, agree to indemnify and hold the Silicon Valley Christian Assembly(SVCA, its pastors, elders, Elders, Deacons, and VBS volunteers staffs) harmless and release SVCA from any and all liability for any injury which may be suffered by the named individual registered in the VBS, arising out of or in any way connected with participation in this program. I have read the above application and agreement, and fully understand that I assume all risks for injuries received.

Parent Signature（家長簽名）*:

Date（日期）*：

Registration Fee (required) 註冊費（必填）

Payment 付款*

Credit/Debit Card Number

Expiration Date/CVC

Name on Card Card Billing Address

2019 矽谷基督徒聚會暑期聖經學校註冊表 SVCA VBS Registration

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