In-Person Children's Sunday School Registration

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Event Timing: Every Sunday from 10:30 a.m.-12:00 p.m. (Starting from 6/6/2021)
Event Location: DCCC outdoors area

Your Child's Name *

Grade (2021-2022) *

Child's Birthday *

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Parent's Email *

Parent's Phone Number *

We will continue to prescreen, mask, and distance. Please help your children understand and follow the following COVID guidelines.

• Hand sanitizer readily available - please use before entering SS area
• Maintain 3 feet of distance from other children at all times
• Wear mask over nose and mouth completely at all times
• Please don't share any items
• Anyone with COVID-19 symptoms or exposure should stay at home

• 洗手液將隨時提供 - 請在進入兒童主日學區域前使用
• 聚會時全程保持與其他人3英尺的距離
• 全程佩戴口罩, 並必須完全覆蓋口鼻
• 不可與他人共享任何物件
• 任何有新冠狀病毒症狀或曾接觸過的人都應待在家裡

Child's medical information

Special needs (e.g. food allergies, medications, etc.)

Doctor/Health insurance company *

Doctor's phone number *

Medical ID# *

In Case of Emergency (not a parent)

Contact name *

Phone number *

Consent and Release from Liability

I hereby give permission for my child(ren) to participate in in-person Children's Sunday School.

I, the undersigned, parent/guardian agree and consent to have any staff member of Davis Chinese Christian Church, secure any medical care or treatment deemed necessary for my child by a qualified medical examiner during DCCC events. I further assume all responsibility for the decision so made, and for the emergency care treatment so secured for my child. As well, I release from all responsibility or liability for accident, and or injury, any and all representatives, leaders or drivers working with DCCC. I also give my permission for photographs/videos of my child to be in any publication produced by Davis Chinese Christian Church, including web-based publications. .

Parent/Guardian Signature (you can type your name) *

Date *

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