參加VBS兒童的姓名 Child Name 〈需填寫 Required〉:

1. 孩子年紀 Age Group:
3-4歲 3-4 years  學前班（K）Kindergarten  1年級-2年級 1st-2nd Grade  3年級-4年級 3rd-4th Grade  5年級-6年級 5th-6th Grade

2.是否過敏 Any Allergy?
No   Yes   
  對什麼過敏 Allergy to:

3.緊急情況聯系電話 Emergency Contact Number 〈需填寫 Required〉:

4.是否常規參加教會 Whether attending church regularly?
No   Yes   

5. T-恤衫的尺寸 T-Shirt Size:

6.是否需要提前送 Whether need to drop off child before VBS?
No   Yes   

父母/聯系人的姓名 Parents/Guardian Name 〈需填寫 Required〉:

聯系電話 Phone Number〈需填寫 Required〉:

您的電子郵件信箱 Email〈需填寫 Required〉:

您的信件內容 Message:


Please enclose the correct amount ($10 per child, $20 per family if registered by 7/10; $20 per child, $40 per family if registered after 7/10), and send the check to the address below (payable to AACCC).  You can also pay cash in person in the  Church.

AACCC
1759 Dhu Varren Road
Ann Arbor, MI 48105