Children's Ministry 2022 - 2023 Student Registration 兒童部事工學童登記 • San Jose Christian Alliance Church

2022-2023 Children's Ministry Registration 兒童部事工學童登記

Thank you for taking the time to register your child(ren) age 0 to 5th Grade for the 2022-2023 school year starting on August 14, 2022. Registration is required to attend Saturday Kids Fellowship and Sunday Kids Church activities. Please complete this form in English.
NOTE: The information on this form is secure and will allow the Children's Ministry to better partner with you.

2022--2023新學年在8月14日開課，請為您的子女們(0歲至5年级)登記。所有兒童必需註冊才能參加週六兒童團契和周日兒童教會活動。請以英文填寫表格。

注意: 以下填寫資料將會保密, 只供兒童部事工策劃之用

Child #1 第一位學生

Child1 First Name 名 *

Child1 Last Name 姓 *

Child1 Gender 性别 *

Child1 Date of Birth 出生日期 *

Child1 School Grade 2022-23 school year 2022-23學年级别 *

Child1 Allergies / Special Need (If none, please write "None") 過敏/特別需要(如果沒有, 請寫"None") *

Child #2 第二位學生

Child2 First Name 名

Child2 Last Name 姓

Child2 Gender 性别

Child2 Date of Birth 出生日期

Child2 School Grade 2022-23 school year 2022-23學年级别

Child2 Allergies / Special Need (If none, please write "None") 過敏/特別需要(如果沒有, 請寫"None")

Child #3 第三位學生

Child3 First Name 名

Child3 Last Name 姓

Child3 Gender 性别

Child3 Date of Birth 出生日期

Child3 School Grade 2022-23 school year 2022-23學年级别

Child3 Allergies / Special Need (If none, please write "None") 過敏/特別需要(如果沒有, 請寫"None")

Parent / Guardian 家長/監護人

Each registration must provide information of AT LEAST ONE parent / guardian. Providing information of the second parent/guardian will be best in case the first parent/guardian cannot be reached. Only email messages about Kids Church events and important announcements will be sent to the provided email addresses. The phone number is necessary to contact the parent / guardian in case of an emergency. For form fields that are not applicable, please enter "NA".

每次登記必須提供最少一位家長/監護人的通訊資料。能提供第二位家長/監護人的通訊資料更好，以作後備之用。只有關於教會兒童活動和重要通告的電子郵件才會發送到所提供的電郵地址。電話號碼只用於緊急情況與家長/監護人聯络。對於不適用的表格項目，請輸入“NA”便可。

1st Parent/Guardian First Name 第一位家長/監護人名 *

1st Parent/Guardian Last Name 第一位家長/監護人姓 *

1st Parent/Guardian Email 第一位家長/監護人電郵 *

1st Parent/Guardian Phone 第一位家長/監護人電話( for emergency 緊急事故 ) *

1st Parent/Guardian's relationship to child 第一位家長/監護人與孩子之關係 *

2nd Parent/Guardian First Name 第二位家長/監護人名 *

2nd Parent/Guardian Last Name 第二位家長/監護人姓 *

2nd Parent/Guardian Email 第二位家長/監護人電郵 *

2nd Parent/Guardian Phone 第二位家長/監護人電話( for emergency 緊急事故 ) *

2nd Parent/Guardian's relationship to child 第二位家長/監護人與孩子之關係 *

Which congregation are the parents/guardians associated with? 家長/監護人所屬會衆 *

Family Home Address 家庭地址

Street Address 地址 *

City 城市 *

State 州名 *

Zip Code 郵政編碼 *

Agreements / Waivers 協議及豁免

Release of Liability: I give permission for my child(ren) to take part in SJCAC Children's Ministry activities. In doing so, I will absolve SJCAC, its staff and volunteers, from liability, including personal injury, property damage, or wrongful death, due to any injury incurred to my child(ren) during the activities. 本人同意上述孩子參與山河市華人宣道會 (SJCAC) 兒童部活動。其中所發生的任何事故, 本人同意免除 SJCAC 及其工作人員和教師的相關賠償及法律上連帶責任, 包括任何受傷，疾病, 死亡或財產損失。 *

I agree 同意

On Site Agreement: I agree to remain on site at San Jose Christian Alliance Church during the Children's Ministry program. 本人同意在兒童部活動期間留在教會. *

I agree 同意

Photo and Video Waiver: I authorize SJCAC to use photographs and/or videos of my child(ren) in SJCAC-sponsored publications (i.e. newsletters, websites, announcements) 本人同意SJCAC可以在其出版之刋物,網站及通訊中使用有關上述孩子在參與活動中所拍攝的照片或視頻。 *

I agree 同意

I do not agree 不同意

Investing in the Next Generation 投資在下一代

One of the greatest investments you can make is in the next generation. The Children's Ministry desires to provide opportunities for parents to actively involve in your child(ren)'s church life and spiritual growth. 父母最大的投資就是下一代。兒童部希望鼓勵父母積極參與子女的教會生活和屬靈成長。

Please check one or more areas of interest: 請選擇有意幫忙項目 *

Registration (Kids Church Check In & Out) 登記 (兒童崇拜登記)

Prayer (Parent support groups / Bi-monthly Parent Prayer Circle) 禱告(家長互助小組/家長雙月祈禱會)

Classroom (Teacher/Small Group Leader/Helper ) 教室(老師/小組組長/助手)

Event Planning (Family or children gatherings) 活動策劃(計劃家庭或兒童聚會)

If there are other areas you wish to help, for example music, arts and crafts, sports, drama, games etc, please specify here. 如果您有其他項目可以幫忙，例如音樂、手工、美術、體育、戲劇、遊戲等，請填寫。

Other areas you can help 其他可以幫忙項目

Feedback 意見

Feedback意見: Your voice is important to us. Please share your thoughts, comments or concerns you have so we can better partner together to build up an excellent Children's Ministry. 你們的意見很重要, 請跟我們分享, 携手建設更完善的兒童事工。

Parent Signature 家長簽名 *

Date 曰期 *

SJCAC Children's Ministry 山河市華人宣道會兒童部

Child #1 第一位學生

Child #2 第二位學生

Child #3 第三位學生

Parent / Guardian 家長/監護人

Family Home Address 家庭地址

Agreements / Waivers 協議及豁免

Investing in the Next Generation 投資在下一代

Feedback 意見