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根源教會秋季退修會報名 Roots Church 2020 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; $1,500 / 小孩 Kids)
不含接駁 Without Transportation ($1,800 / 成人 Adults / $1,000 / 小孩 Kids)
中文名字 Chinese name
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如果沒有的話請寫「沒有」。If not applicable, write N/A.
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英文名字 English name
*
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
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Your answer
電子郵件 Email
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Your answer
需要報名兒童照護? Do you need to register any children?
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No
Yes
室友的要求 Roommate requests
Your answer
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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