2023矽谷基督徒聚會暑期聖經學校註冊表 SVCA VBS Registration

Theme: Keepers of the Kingdom

主題：Keepers of the Kingdom

When: 6/19-23, 2023，8:30AM-12:20PM

時間：6/19-23, 2023，8:30AM-12:20PM

Who: Children currently Pre-K (4 years old) to 5th grade

接收：目前幼兒園中班（4歲及以上）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, Bible lessons, craft, games, yummy lunch and fellowship!

活動：敬拜，聖經課，手工，遊戲，信息，美食和新朋友

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

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 4/30/2023): $40

提前註冊優惠價（4/30之前）：$40

Regular (after5/1/2022): $50

正常註冊費（5/1之後）：$50

Registration deadline 註冊截止日

May 20, 2023, space is limited

5/20/2023截止，名額有限

CODE OF CONDUCTS:

Children participating in VBS are expected to respect their teachers and staff, 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：

我们期望参加暑期圣经学校的学生都能遵守相应的行为规范，尊重老师和工作人员，听从指令；同学之间礼貌待人，和睦相处。如果有孩子无法遵守以上行为条例，会有可能被停止参加某项活动或者通知父母提早带领孩子离开。

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（生日）*：

Grade in Fall 2022（2022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）*：

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

XS(4-5 years old) S (6-7 years old) M (8-9 years old) L (10 years old and above)

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

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）：

I do not wish my child to participate in the following 不希望孩子參加的活動:*

Any special needs or food allergy for your child 食物過敏及其他特別需要注意的情形*:

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

Full Name （全名）*:

Phone 電話：

If you are non-SVCA family, which SVCA family have invited you to this VBS (SVCA family please fill with "N/A") 如您不是SVCA弟兄姐妹，哪個SVCA家庭邀請了您的孩子參加這個活動（SVCA家庭請填“N/A”）：

Phone of the inviter (SVCA family please fill with "N/A") 邀請人電話(SVCA家庭請填“N/A”)：

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 19-23, 2023. 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* $50.00

Credit/Debit Card Number

Expiration Date/CVC

Name on Card Card Billing Address

Description

6/19/2023

Please fill out this form and click submit.

2023矽谷基督徒聚會暑期聖經學校註冊表 SVCA VBS Registration

Description

Please Fix the Following