Family Camp Ministry Registration

Parent Information/父母信息
Parent 1 Name/父母1名字 (*)
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Role of Parent 1/父母1角色(*)
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Phone/电话(*)
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Email/邮箱(*)
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Type of ID/ID类别(*)
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ID Number/ID号码(*)
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Place of Issue/签发地(*)
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Which Congregation or Church/所在堂点 或 教会
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Tshirt size/T恤号(
XS、S、M、L、XL、XXL、XXXL、Others please Specify)(*)
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Medical Condition、Allergies/药物、过敏(*)
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Transport(*)
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(If needed indicate number of passengers)

Parent 2 Name/父母2
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Phone/电话
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Email/邮箱
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Type of ID/ID类别
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ID Number/ID号码
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Place of Issue/签发地
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Tshirt size/T恤号
XS、S、M、L、XL、XXL、XXXL、Others please Specify
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Medical Condition、Allergies/药物、过敏
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Reason for Parent 2 not attending/第二父母没参加的原因
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Children 1 Information/孩子1信息
Name/名字(*)
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Type of ID/ID类别
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ID Number/ID号码
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Place of Issue/签发地
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Gender/性别(*)
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Tshirt size/T恤号
100、110、120、130、140、150、Others please Specify(*)
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Birthday(mm/dd/yyyy)/生日:(月/日/年)(*)
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Age/年龄(*)
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Medical Condition、Allergies/药物、过敏(*)
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“(if your child has allergies to wheat, gluten, dairy, nuts or other, please plan for your own alternate snack arrangements)”

Other Remarks/备注(*)
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Children 2 Information/孩子2信息
Name/名字
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Type of ID/ID类别
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ID Number/ID号码
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Place of Issue/签发地
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Gender/性别
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Tshirt size/T恤号
100、110、120、130、140、150、Others please Specify
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Birthday(mm/dd/yyyy)/生日:(月/日/年)
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Age/年龄
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Medical Condition、Allergies/药物、过敏
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“(if your child has allergies to wheat, gluten, dairy, nuts or other, please plan for your own alternate snack arrangements)”

Other Remarks/备注
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Children 3 Information/孩子3信息
Name/名字
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Type of ID/ID类别
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ID Number/ID号码
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Place of Issue/签发地
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Gender/性别
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Tshirt size/T恤号
100、110、120、130、140、150、Others please Specify
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Birthday(mm/dd/yyyy)/生日:(月/日/年)
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Age/年龄
Invalid Input

Medical Condition、Allergies/药物、过敏
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“(if your child has allergies to wheat, gluten, dairy, nuts or other, please plan for your own alternate snack arrangements)”

Other Remarks/备注
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Children 4 Information/孩子4信息
Name/名字
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Type of ID/ID类别
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ID Number/ID号码
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Place of Issue/签发地
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Gender/性别
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Tshirt size/T恤号
100、110、120、130、140、150、Others please Specify
Invalid Input

Birthday(mm/dd/yyyy)/生日:(月/日/年)
Invalid Input

Age/年龄
Invalid Input

Medical Condition、Allergies/药物、过敏
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“(if your child has allergies to wheat, gluten, dairy, nuts or other, please plan for your own alternate snack arrangements)”

Other Remarks/备注
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MEDICAL RELEASE / INDEMNITY:
BICF (Family Ministry) reserves the right to make the necessary arrangements to accommodate the optimum number of families for the camp. This will be done in consultation with families concerned.
I authorize BICF to have and use photographs, slides and videotapes of me (my family) as needed for its records and public relations programs. I am aware and understand that participating in activities while at Family Camp involves a potential risk of physical injury. I also am aware and understand that all of the program activities are strictly voluntary and it is my/my family’s choice to participate in each activity to whatever degree I deem appropriate, after due consideration of my/my family’s own physical health, physical abilities and medical condition. I agree that I am solely responsible for my/my family’s participation and for my/my family’s physical and emotional well-being. I/My family will not be under the influence of any chemical substance, including alcohol, while participating.
I/My family willingly and knowingly assume for myself/ourselves, my/our heirs, family members, executors, administrators, and assume all risk of physical injury and emotional upset which may occur during or after participating in any aspect of the program and to hold BICF, its employees, instructors, facilitators and agents harmless for any liability arising out of my/my family’s participation in the program. Should BICF or anyone acting on their behalf be required to incur attorney’s fees and costs to enforce this agreement, I agree to indemnify (to shift the responsibility for payment of damages to someone else) and hold BICF harmless for all such fees and cost. This release does not apply to any physical injury or emotional harm caused by negligence or willful misconduct of BICF, its employees, instructors, facilitators or agents.
I authorize BICF to have and use photographs, slides and videotapes of me (my family) as needed for its records and public relations programs.
(*)
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ABSOLUTELY NO PETS ARE PERMITTED ON CAMPSITE. For the safety of your pet and your fellow campers, please leave your pet at home.