2023 ONLINE AWANA REGISTRATION FORM 온라인 AWANA 신청서 [ 매주 금요일 7:30 PM - 8:30 PM] * 필수항목 이름 | NAME (Last, First) *부모님 성함 | Parent Information *이메일 주소 | EMAIL *전화번호 | Phone Number *학년 | GRADE *Kindergarten1학년 | 1st Grade2학년 | 2nd Grade3학년 | 3rd Grade4학년 | 4th Grade5학년 | 5th Grade6학년 | 6th Grade중학교 (middle school)고등학교 (high school)주소 | Street Address *City *State/Province *ZIP / Postal Code *교회 정보 | CHURCH INFORMATION *남가주 새누리 교회 | BSBC다른교회 | OTHER등록되지 않음 | NONE식단 유의사항 | Dietary restrictionsNoneVegetarianVeganKosherGluten-free기타 | OtherOther등록금 | FEES (FOR OFFICE USE ONLY)Registration Fee [ $100 ]UNIFORM [ $20 ]HANDBOOK [ $15 ]생년월일I hereby give consent that Berendo Street Baptist Church and its staff will not be held responsible or liable for any injury or damage to the above child or to his/her possessions when there was no neglect of responsible action and appropriate measures taken by the church or by the leaders. In the event of an emergency involving my child, permission is hereby granted to conduct any appropriate medical treatment deemed necessary by a licensed medical professional. Without expectation of compensation or other remuneration, now or in the future, I also hereby give my consent to BSBC & its staffs, to use my child’s images/videos and likeness in its publications, advertising or other media activities (including the internet such as Facebook) By typing your full name you hereby agree to accept the Photo/Video Release Clause *Check *I agreeSubmit