FCBC SUNDAY SCHOOL EMERGENCY DATA FORM
兒童/青少年主日學登記表

三藩市第一華人浸信會
First Chinese Baptist Church
15 Waverly Place 
San Francisco, CA 94108-2118
T: (415) 857-3226 
Email: info@fcbc-sf.org

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Name of child 
學生姓名
AKA (Nickname or English Name) 
英文名
Birthdate (not for publication)
出生月，日，年 (不公開)
MM
/
DD
/
YYYY
Special Attention/Request (Food Allergy, special diet  )

特別注意事項(食物過敏或特別膳食)

Grade

年班

Sisters or brothers Name and Age

兄弟姐妹姓名及年齡

Parent Name

家長姓名

Parent Cell Phone

家長手機號碼

Parent Email Address

家長電郵地址

Parent/Second Emergency Contact Name and Relationship

家長或緊急聯絡人姓名及關係

Parent/Second Emergency Contact Cell Phone

家長或緊急聯絡人手機號碼

Address 
住址
City, State, Zip code 
城市、省份、郵區
Home Phone 
住宅電話
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