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영아 / 유아 / 유치부 온라인 등록 신청서
2022-2023
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Korean name 어린이 이름 한글
*
Your answer
English name 어린이 이름 영어
*
Your answer
Birthday 생년월일 (Please format MM/DD/YYYY)
*
MM
/
DD
/
YYYY
Gender 성별
*
남
여
Worship 출석 예배시간
*
1부
2부
3부
Father's name 아버지 이름
Your answer
Father's phone number 아버지 전화번호 (please format 123-456-7890)
Your answer
Father's E-mail address 아버지 이메일
Your answer
Mother's name 어머니 이름
Your answer
Mother's phone number 어머니 전화번호 (please format 123-456-7890)
Your answer
Mother's E-mail address 어머니 이메일
Your answer
Gaurdian information 부모외 보호자 이름 / 핸드폰 (please format 123-456-7890)
Your answer
Home address 집주소 (please format street address, city, state, zip code)
*
Your answer
1st Sibling's name & birthday 형제 자매 이름/생년월일 (Please format MM/DD/YYYY)
Your answer
2nd Sibling's name & birthday 형제자매 이름/생년월일 (Please format MM/DD/YYYY)
Your answer
3rd Sibling's name & birthday 형제자매 이름/생년월일 (Please format MM/DD/YYYY)
Your answer
Parent's house church name 목장 이름
Your answer
Parents H/C shepherd's name 목자/목녀 이름
Your answer
Emergency contact 응급 연락처 (이름, 관계, 연락처)
*
Your answer
Allergy Information
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