PUMP SUMMER CAMP 2023 REGISTRATION
中华基督教会暨服务中心
2023 暑期日营报名表            

Please complete registration form and pay fees ($500 each student)  to fully register.  
请填写注册表并支付费用以完成注册
    Checks to: Chinese Christian Church and Center (225 N. 10th Street) and Venmo: harryleong-suns   
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What is your email address?  您的电子邮件地址是什么？ *
Was your child a PUMP camp student in 2022? 你的小孩是2022年暑期营的学生？ *
What is the name of the student? 学生叫什么名字？ *
What is the sex of the student? 你孩子的性别是什么？ *
What is the student's age? 学生的年龄是多少？ *
What is the student's birthdate?  学生的生日是几号？
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YYYY
What grade is the student going to? 学生要上几年级？ *
What is the student's address? 学生的地址是什么？ *
What school does student attend? 学生上什么学校？ *
What is the parent's phone number? 家长的电话号码是多少？ *
Who is another emergency contact  person and phone number? 谁是紧急联系人和电话号码？ *
Is there any child medical condition that we need to be aware of? 是否有任何我们需要注意的医疗状况？ *
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