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2026 家庭生活營報名表
Family Camp Registration

- Ministries & Activities 事工與活動

日期與時間: 七月三日(星期五)上午十時至七月四日(星期六)下午四時半
Time and Date: 10 am, Friday, July 3, 2026 to 4:30pm Saturday, July 4, 2026

地點 (Campsite): Mount St. Mary’s University: 16300 Old Emmitsburg Rd, Emmitsburg, MD 21727
如果您需要線上報名表的協助，請聯絡陳莉莉電郵：[email protected] . If you need help with the registration, please contact Lily Chiang：[email protected] or Jian Lu 240-988-8945

有關更多詳細信息，請參閱家庭生活營資料. For more details, see Family Camp Info
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- 家長姓名 (中文)：Parent Name (Chinese) Please enter valid data.
- 家長姓名 (英文): Parent Name (English) Please enter valid data.
- 地址：Address REQUIRED Please fill out this field. Please enter valid data.
- City REQUIRED Please fill out this field. Please enter valid data.
  
  State REQUIRED Please fill out this field.
  
  Zip REQUIRED Please fill out this field. Please enter a zip code.
- 電話 (家)：Phone Number (Home) REQUIRED Maximum 20 characters Please fill out this field. Please enter a phone number.
- 電話 (手機): Phone Number (Mobile) Maximum 20 characters Please enter a phone number.
- 聯絡電子信箱 (寄發生活營資料): Email to receive camp information REQUIRED Please fill out this field. Please enter an email address.
- 參加人數 (Number of Participants) Please fill out this field.
  
  參與者 (Participant) 1
  
  姓名(中,英文皆填) Name (Chinese and/or English) REQUIRED Please fill out this field. Please enter valid data.
  
  參與者類型 (Type of Participant) REQUIRED Please fill out this field.
  
  性別 Sex REQUIRED Please fill out this field.
  
  年齡（18 歲及以下) : Age (For those 18 and under) Please enter valid data.
  
  成人室友/青年宿舍要求 Adult Roommate or Youth Dormitory Request Please enter valid data.
  
  參與者 (Participant) 2
  
  姓名(中,英文皆填) Name (Chinese and/or English) REQUIRED Please fill out this field. Please enter valid data.
  
  參與者類型 (Type of Participant) REQUIRED Please fill out this field.
  
  性別 Sex REQUIRED Please fill out this field.
  
  年齡（18 歲及以下) : Age (For those 18 and under) Please enter valid data.
  
  成人室友/青年宿舍要求 Adult Roommate or Youth Dormitory Request Please enter valid data.
  
  參與者 (Participant) 3
  
  姓名(中,英文皆填) Name (Chinese and/or English) REQUIRED Please fill out this field. Please enter valid data.
  
  參與者類型 (Type of Participant) REQUIRED Please fill out this field.
  
  性別 Sex REQUIRED Please fill out this field.
  
  年齡（18 歲及以下) : Age (For those 18 and under) Please enter valid data.
  
  成人室友/青年宿舍要求 Adult Roommate or Youth Dormitory Request Please enter valid data.
  
  參與者 (Participant) 4
  
  姓名(中,英文皆填) Name (Chinese and/or English) REQUIRED Please fill out this field. Please enter valid data.
  
  參與者類型 (Type of Participant) REQUIRED Please fill out this field.
  
  性別 Sex REQUIRED Please fill out this field.
  
  年齡（18 歲及以下) : Age (For those 18 and under) Please enter valid data.
  
  成人室友/青年宿舍要求 Adult Roommate or Youth Dormitory Request Please enter valid data.
  
  參與者 (Participant) 5
  
  姓名(中,英文皆填) Name (Chinese and/or English) REQUIRED Please fill out this field. Please enter valid data.
  
  參與者類型 (Type of Participant) REQUIRED Please fill out this field.
  
  性別 Sex REQUIRED Please fill out this field.
  
  年齡（18 歲及以下) : Age (For those 18 and under) Please enter valid data.
  
  成人室友/青年宿舍要求 Adult Roommate or Youth Dormitory Request Please enter valid data.
  
  參與者 (Participant) 6
  
  姓名(中,英文皆填) Name (Chinese and/or English) REQUIRED Please fill out this field. Please enter valid data.
  
  參與者類型 (Type of Participant) REQUIRED Please fill out this field.
  
  性別 Sex REQUIRED Please fill out this field.
  
  年齡（18 歲及以下) : Age (For those 18 and under) Please enter valid data.
  
  成人室友/青年宿舍要求 Adult Roommate or Youth Dormitory Request Please enter valid data.
  
  參與者 (Participant) 7
  
  姓名(中,英文皆填) Name (Chinese and/or English) REQUIRED Please fill out this field. Please enter valid data.
  
  參與者類型 (Type of Participant) REQUIRED Please fill out this field.
  
  性別 Sex REQUIRED Please fill out this field.
  
  年齡（18 歲及以下) : Age (For those 18 and under) Please enter valid data.
  
  成人室友/青年宿舍要求 Adult Roommate or Youth Dormitory Request Please enter valid data.
  
  參與者 (Participant) 8
  
  姓名(中,英文皆填) Name (Chinese and/or English) REQUIRED Please fill out this field. Please enter valid data.
  
  參與者類型 (Type of Participant) REQUIRED Please fill out this field.
  
  性別 Sex REQUIRED Please fill out this field.
  
  年齡（18 歲及以下) : Age (For those 18 and under) Please enter valid data.
  
  成人室友/青年宿舍要求 Adult Roommate or Youth Dormitory Request Please enter valid data.
  
  參與者 (Participant) 9
  
  姓名(中,英文皆填) Name (Chinese and/or English) REQUIRED Please fill out this field. Please enter valid data.
  
  參與者類型 (Type of Participant) REQUIRED Please fill out this field.
  
  性別 Sex REQUIRED Please fill out this field.
  
  年齡（18 歲及以下) : Age (For those 18 and under) Please enter valid data.
  
  成人室友/青年宿舍要求 Adult Roommate or Youth Dormitory Request Please enter valid data.
- 費用總計 Fee Total REQUIRED Please fill out this field. Please enter valid data.
- 自由奉献樂捐 (可抵税): Additional donations (tax deductible) Please enter valid data.
- 總支付 (Total amount paid) REQUIRED Please fill out this field. Please enter valid data.
- 付款方式 Payment Method REQUIRED 支票交給陳莉莉(Check given to Lily Chiang) 洛城組: (Rockville) [email protected] 支票交給蔡素燕 (Check given to Rosa Hum) 洛城組 (Rockville): 301-530-4369 支票交給李露絲 (Check given to Lucy Lee) 華埠組 (Chinatown): 703-853-2761 支票交給Jim Tang (Check given to Jim Tang) 華埠組 (Chinatown): 202-556-0156 支票交給Jim Tang (Check given to Jim Tang) 英文或青年組（English Ministry & Youth Group): 202-556-0156 支票寄至Jim Tang (Check mailed to Jim Tang) : 12225 Seline Way, Potomac MD, 20854 (兌現被盜支票有風險，如果您需要郵寄支票，請務必跟進。Fraudulent cashing of stolen check is an issues in general, please follow up if you have to mail the check. Please fill out this field.
- 支票號碼: Check number Please enter valid data.
- 付款日期: Date of Payment REQUIRED Please fill out this field. Please enter a date.
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2026 家庭生活營報名表 Family Camp Registration

2026 家庭生活營報名表
Family Camp Registration