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根源教會秋季退修會報名 Roots Church 2022 Fall Retreat Registration
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我要報名 I would like to register:
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含接駁 With Transportation ($2,500 / 成人 Adults)
不含接駁 Without Transportation ($1,800 / 成人 Adult)
中文名字 Chinese name
*
如果沒有的話請寫「沒有」。If not applicable, write N/A.
Your answer
英文名字 English name (First & Last)
*
如果沒有的話請寫「沒有」。If not applicable, write N/A.
Your answer
慣用稱呼 Preferred name
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中文
English
Other:
電話號碼 Phone number
*
Your answer
電子郵件 Email
*
Your answer
室友的要求 Roommate requests
Your answer
Are you a mother bringing a nursing infant/baby?
Yes
食物過敏，其他注意事項或問題 Food allergies, additional notes, or questions
Your answer
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