Download;
IKC Registration Form.xls
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| 2016 International
Kids' Camp (IKC/VBS) |
| Application &
Guardian’s Permission Form |
| Child Name |
First |
Last
| Date of Birth (dd/mm/yy) |
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| Guardian |
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| N/A |
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Address |
Apt # |
City |
Zip |
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| Phone |
Home; |
Cell; |
| Email |
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| Ages |
Pre-K(4-6 yrs), 1st-3rd(7-9 yrs), 4th-5th(10-12 yrs) |
| Notes |
Examples; Allergy, Behavioral Specialties
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| School Bus |
Eleven Oaks Apt. |
Derby Estate |
| Pick Up Time |
9 a.m.-1 p.m./3:30 pm(Wednesday) |
9:25 a.m.-1p.m./3:45 p.m.
(Wednesday) |
| |
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| I, (Guardian’s Name:
), give permission for my child,
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| (Child’s Name: ), to
attend the 2016 INTERNATIONAL KIDS
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| CAMP(IKC/VBS) from June 27 to June 29 at The Korea Saehan
Church Of Louisville.
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| Date: / / (mm/dd/yyyy)
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| Guardian’s
Signature X |
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| <Please Keep This Form for pick up and ride schedule> |
| Child’s Name; |
| Pick Up Time; Eleven Oaks 9:00a.m./Derby Estate 9:25 AM |
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| Date: June 27(Mon) ~ 29(Wed)
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| Time: 10:00 A.M.~ 1:00 P.M. (Lunch Provided); *Wednesday,
10:00am-3:00 pm
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| Registration Fee: Free ($0.00)
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| Location: The Korea Saehan Church Of Louisville |
☎
(502) 267-1416(office)/☎(502)
386-4936(cell) |
| 10409 Taylorsville Rd.,
Louisville, KY 40299 |
Pastor Kim |
| ☞Email:sanghunkim30@gmail.com ☞Homepage:
www.saehan.org |
| 루이빌새한장로교회 서식 201605017 |
