EmailMe Form - NJ Onnuri VBS June 26

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NJ Onnuri VBS June 26 - 28, 2015

Noah's Adventure

Two Age Groups
Dreamland (K - 5th grade): $20
Dream Seed (2 years - 4 years): $10

- Dates and Times for Dreamland:
June 26 9:30AM - 3:30PM
June 27 9:30AM - 3:30PM
June 28 10:30AM - 1:30 PM

- Dates and Times for Dream Seed:
June 26 9:30AM - 12:30PM
June 27 9:30AM - 12:30PM
June 28 10:30AM - 1:30 PM

- Location:
NJ Onnuri Community Church
1449 Anderson Ave, Fort Lee, NJ 07024

- For All Inquiries: Steven Park (steven.park@njonnuri.org)
917-886-9955

Name of Child 1 (아이 이름)
First Last
Grade of Child 1 (학년)
DOB Child 1 (아이 생년 월일)
MM / DD / YYYY
T-Shirt Size Child 1
(아이 티셔츠)
To register additional child(ren), please continue to fill out the form or skip to the next section.
Name of Child 2 (아이 이름)
First Last
Grade of Child 2 (학년)
DOB Child 2 (아이 생년 월일)
MM / DD / YYYY
T-Shirt Size Child 2
(아이 티셔츠)
Name of Child 3 (아이 이름)
First Last
Grade of Child 3 (학년)
DOB Child 3 (아이 생년 월일)
MM / DD / YYYY
T-Shirt Size Child 3
(아이 티셔츠)
Please Complete All Registration Information Below.
Name of Guardian (부모)
First Last
Email
Phone
### - ### - ####
Kakao ID (If Any) - 카톡 ID
Enrollment Fee
($20) Dreamland (K-5th) Child 1
($20) Dreamland (K-5th) Child 2
($20) Dreamland (K-5th) Child 3
($10) Dream Seed (2-4 Years) Child 1
($10) Dream Seed (2-4 Years) Child 2
Enrollment Fee applies per child.
신청 방법
Credit Card
Submit 을 누루시면, authorize.net secure page 로 이동되니, 카드 정보를 넣으시면 됩니다.
Name on Card (영문)
First Last
Billing Address
(카드 청구지 주소)

Street Address Address Line 2 City State / Province / Region Postal / Zip Code Country / Region
Special Needs / Allergies
(특이 사황)
By clicking "Submit" I hereby give NJ Onnuri Community Church the right and permission with respect to photos and videos taken of my child to use in that are generally acceptable medium and purposes. It will not be used for anything that might constitute as illegal or immoral in nature.

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