参加VBS儿童的姓名 Child Name 〈需填写 Required〉:

1. 孩子年纪 Age Group:
4岁 4 years by 9/1/2016;5 岁 5 years  6岁 6 years  7岁 7 years  8岁 8 years  9岁 9 years  10岁 10 years  11岁 11 years  12岁 12 years  

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:

This year’s VBS will be hosted from 8/14-8/18 @ 9am-12pm. Online registration will be opened on 5/15.

Please enclose the correct amount ($10 per child, $20 per family if registered by 7/15; $20 per child, $40 per family if registered after 7/15), and send the check to the address below (payable to AACCC). You can also pay cash in person in the Church.

AACCC
1750 Dhu Varren Road
Ann Arbor, MI 48105