Download;
| 2016 International Kids' Camp (IKC/VBS) | |||||
| Application & Guardian’s Permission Form | |||||
| Child Name | First | Last | Date of Birth (dd/mm/yy) | ||
| Guardian | N/A | ||||
| Address | Apt # | City | Zip | ||
| Phone | Home; | Cell; | |||
| Ages | Pre-K(4-6 yrs), 1st-3rd(7-9 yrs), 4th-5th(10-12 yrs) | ||||
| Notes | Examples; Allergy, Behavioral Specialties | ||||
| 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) | |||
| I, (Guardian’s Name: ), give permission for my child, | |||||
| (Child’s Name: ), to attend the 2016 INTERNATIONAL KIDS | |||||
| CAMP(IKC/VBS) from June 27 to June 29 at The Korea Saehan Church Of Louisville. | |||||
| Date: / / (mm/dd/yyyy) | |||||
| 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 | |||||
| Date: June 27(Mon) ~ 29(Wed) | |||||
| Time: 10:00 A.M.~ 1:00 P.M. (Lunch Provided); *Wednesday, 10:00am-3:00 pm | |||||
| Registration Fee: Free ($0.00) | |||||
| 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 | |||||