参加VBS儿童的姓名 Child Name 〈需填写 Required〉:

1. 孩子年纪 Age Group:
3-4岁 3-4 years  学前班（K）Kindergarten  1年级-2年级 1st-2nd Grade  3年级-4年级 3rd-4th Grade  5年级-6年级 5th-6th Grade

2.是否过敏 Any Allergy?
No   Yes   
  对什么过敏 Allergy to:

3.紧急情况联系电话 Emergency Contact Number 〈需填写 Required〉:

4.是否常规参加教会 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/联系人的姓名 Parents/Guardian Name 〈需填写 Required〉:

联系电话 Phone Number〈需填写 Required〉:

您的电子邮件信箱 Email〈需填写 Required〉:

您的信件内容 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