DGMA EOTC SS የደ/ገ/መ የኢ/ኦ/ተ ቤ/ክ

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Student Registration Form የተማሪዎች መመዝገቢያ ቅጽ

电子邮件地址 *

Parent/Guardian Member Since (Year)

DGMA Membership ID #

Student Baptismal name *

Student First name *

Last Name *

Student Date of Birth *

年

月

日

Student Gender *

Male

Female

Mother's First name *

Mother's Last name *

Mother Phone Number *

Father's First Name

Father's Last Name

Father's Phone number

Home Address *

City *

State *

District of Columbia

Maryland

Virginia

其他:

必填

Zip code *

Parent alternative / Secondary Email (for back up purpose) *

Student Email *

The year your child started to attend Debre Genet Medhane Alem Sunday school. *

My child has access to computer and internet. *

Yes

My child (myself) need technical assistance to use computer and internet. *

Yes

Your support is valuable to the success of this program. Please indicate how you will support the program. (Check all that apply)

I will donate money.

I will donate computers.

I will donate other materials.

I will teach / assist.

I will support the IT needs.

其他:

Parental Consent #1 *

I understand the need for a meaningful parental involvement to benefit my child from this program. I consent to fully engage myself and provide the utmost support and supervision to my child.

必填

Parental Consent #2 *

I understand that some meetings may be recorded for archival and promotional purposes. I give consent for these recordings of meetings to be utilized at DGMA for educational purposes.

必填

Parental Consent #3 *

I understand that no obscene, inflammatory or derogatory language or imagery will be allowed by any student, parent, guardian, or teacher while participating in DGMA Sunday school virtual classes.

必填

Parental Consent #4 *

I give permission for DGMA to create/maintain a G Suite for Education account for my child and for Google to collect, use, and disclose information about my child only for the described purposes.

必填

Parental Consent #5 *

By signing below, I confirm that I have read and understand that my child is registering for a virtual Sunday school class using Google classroom. I give permission for my child to participate in G Suite for Education platform.

必填

Parent/Guardian Signature ( Type your full name below) *

Today's date *

年

月

日

您回复的副本将通过电子邮件发送到您提供的地址。

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