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KCCIC Children's Ministry Contact Form
Please fill out this form as complete as possible. For families that have both father and mother, please fill out for both. Thank you!
이 양식을 최대한 완벽하게 작성해 주세요. 아버지, 어머니가 모두 있는 가정의 경우, 모두 기재해 주십시오. 감사합니다!
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Student Name
학생 이름
Your answer
Student Address
학생 주소
Your answer
Student Birthday
학생 생일
MM
/
DD
/
YYYY
Student School Name
학생 학교 이름
Your answer
Student Grade (2023-2024 year)
학생
학년
Your answer
Student Cell Phone (if applicable)
학생 휴대폰 번호
Your answer
Can student phone receive text?
휴대전화로 문자를 받을 수 있나요?
Yes
No
Clear selection
Student E-mail (if applicable)
학생 이메일
Your answer
Student Allergies
학생 알레르기
Your answer
Parent 1 Name
부모님 성함
Your answer
Parent 1 Relationship with Student
부모와 아이의 관계
Father
Mother
Other:
Clear selection
Parent 1 Cell Phone
부모님
휴대폰 번호
Your answer
Can Parent 1 phone receive text?
휴대전화로 문자를 받을 수 있나요?
Yes
No
Clear selection
Parent 1 E-mail
부모님
이메일
Your answer
Parent 2 Name
부모님 성함
Your answer
Parent 2 Relationship with Student
부모와 아이의 관계
Father
Mother
Other:
Clear selection
Parent 2 Cell Phone
부모님
휴대폰 번호
Your answer
Can Parent 2 phone receive text?
휴대전화로 문자를 받을 수 있나요?
Yes
No
Clear selection
Parent 2 E-mail
부모님
이메일
Your answer
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