法鼓山西雅圖分會2024兒童心靈環保體驗營

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暑假快到了，您正在為送孩子去參加什麼活動而煩惱嗎？

每年備受參加過的小朋友喜愛，以『生活教育、心靈成長』為主軸的法鼓山兒童心靈環保體驗營即日起開始招生！

今年西雅圖營隊以「生活環保」「禮儀環保」及「禪修體驗」課程為主題，設計豐富多元、好玩又有意義的課程，讓小朋友從輕鬆活潑的互動活動中學習心念專注，從玩樂中學習如何整潔簡便的生活並尊重關懷他人。

歡迎您的小菩薩報名參加，到法鼓山來享受一個充滿創意又有趣的假期！

費用完成方式: https://www.ddmbaseattle.org/event/2024-er-tong-xin-ling-huan-bao-xia-ling-ying

Every year, DDMBA Mindful Kids Summer Camps attract a diverse group of young people in Taiwan and overseas to come together and learn, play, and mature while having a great time. This program includes lots of hands-on activities, story-telling, meditation practice, music, art, and games, making this a fun experience. This camp aims to teach children with the values of caring, confidence, and concentration, as well as to inspire children’s environmental awareness and to apply these skills to daily life.

Come join us and reserve a spot! Sign up your kids now!

DDMBA-WA Mindful Kids Summer Camp Registration Form

中文姓名 Participant's Chinese Name:

英文姓名 Participant's English Name: *

生日 Date of Birth mm/dd/yyyy: *

性別 Gender: *

男 boy

女 girl

中文聽力 Chinese Listening Capability: *

優 Good

可 Average

無 None

住家住址 Mailing Address: *

連絡電話 Home Phone:

父親姓名 Parent/Guardian's Name: *

Work/Cell Phone: *

E-mail: *

母親姓名 Parent/Guardian's Name: *

Work/Cell Phone: *

E-mail: *

*過敏及醫療史

Medical Information

Please list all known allergies, dietary restriction and medical conditions here. (Please type "None" if your kids don't have any.) *

Medical Insurance Carrier: *

Policy No./Group ID: *

Physician's (Family Doctor) Name/Phone:

Dentist's Name/Phone:

*緊急聯絡人訊息

Emergency Contact

緊急聯絡人姓名 Emergency Contact Name: *

緊急聯絡人電話 Emergency Contact Phone: *

與緊急聯絡人關係 Relationship: *

*其他訊息 Other Information

是否願意擔任義工 Can you or other siblings of the participant be a volunteer of the camp (Age 14+) *

Yes

承上題，若可擔任義工，請填寫義工中英文姓名 If you can be the volunteer, please write down the Chinese and English name (我們將會與您聯絡相關事宜)

訊息來源 How did you hear about us *

DDMBA Website/Email

Facebook

Friend

Other:

若有其他需求，請註明 Special or additional requirement

*Release of Liability Statement

Please check the boxes below

I grant permission to DDMBA-WA to take and publish photographs/videos of my child for legitimate purpose.

In case of emergency, permission is hereby given that my child is to be treated by the area’s hospitals.

I am the parent or legal guardian of the Child. I have read this document, and I am signing it freely. I understand the legal consequences of signing this document, including (a) releasing DDMBA, DDMBA-WA and their Fashi, staff and volunteers (thereafter “DDMBA”) from all liability on my and my child’s behalf, (b) waiving my and my child’s right to sue the DDMBA, (c) and assuming all risks of my child’s participation in this Activity, including indoor and outdoor activities. I allow my child to participate in this Activity. I understand that I am responsible for the obligations and acts of my child as described in this document. I agree to be bound by the terms of this document.

Electronic Signature: I have read and agree to the liability statement and understand the content listed above. Electronic signatures shall be deemed original signatures for purposes of this release and all matters related thereto, with such electronic signatures having the same legal effect as original signatures.

Required

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