2015年科州華人基督徒聯合春令會報名表 Registration Form for 2015 Colorado Chinese Christian Joint Retreat www.cccjr.org 超越世界，超越世界，跟隨耶穌主題 (Theme) 日期 (Date) : 5/23/2015 1:30-2:30pm 報到至 5/25/2015 午餐後 (2夜6餐) : 5/23/2015 1:30-2:30pm (Check-in) to 5/25/2015 after Lunch (2 nights 6 meals) 地點 (Venue) : YMCA of the Rockies, 2515 Tunnel Road, Estes Park, CO 80511 講員 (Speaker) : 曾敬恩牧師 (Dr. Rev. Joseph Tseng) 聯絡人(Contacts) : 陳賢宏弟兄 (Aaron Chen) 719-598-8577 e-mail: nlcc.springs@gmail.com 姓名(Name) : ________________________________________________________________ 住址(Address): ________________________________________________________________ 電話(Phone) : (_______) ________________ 電郵(E-mail): _________________________ 所屬教會(或邀請您來的朋友所屬教會) : 中文姓名英文姓名性別年齡組別 Age 參加組別** 信徒? 與…關系 Attending Group Christian? Chinese Name English Name Gender 成/兒/嬰 C/E 自己 SELF A/C/I C/E A/C/I C/E A/C/I C/E A/C/I C/E A/C/I C/E A/C/I *年齡組別 Age Group : 成 A (≥12) / 兒 C (6-11) / 嬰 I (0-5) **成人參加組別 Adult Attending Group : 中C：中文組 Chinese Group / 英E: 英文組 English Youth Group 1. 本年度聯合春令會為鼓勵科州所有華人湧躍參加，採取不收報名費政策, 但大會鼓勵所有弟兄姐妹憑愛心自由奉獻，以支應本會龐大的開銷. 2. 報名日期為即日起至5/10 (以收到支票為准). 先報名者有優先選擇住宿地點權利. 5/10 以後報名者, 大會無法保證有房間供應. 取消報名退費截止日期為5/17. 3. 十八歲以下的青少年, 若父母不參加, 必須指定監護人並簽署 Release Form. 4. 大會將根據需要提供粵語/英语翻譯. 请填寫需要翻譯人數: 粵語 ___ 人, 英语___人 5. 請填寫背頁(第二頁)的膳宿費統計表, 把支票(抬頭為 NLCC) 一并交給你所屬的教會。各教會收集後將統一轉給大會. 若無所屬教會，請將報名表與相關費用寄至：支票抬頭為 NLCC Make check payable to NLCC New Life Chinese Church 郵寄地址 Mailing Address: 11025 Voyager Pkwy, Colorado Springs, CO 80921 Page 1 of 2 2015 年科州華人基督徒聯合春令會膳宿費統計表 CCCJR 2015 Rate for Meals & Lodging Fees 膳宿費 Meals and Lodging Fee (價格為全程每人2夜6餐計算 Rates are quoted per adult for 2 nights and 6 meals) A. Wind River Lodge (2 queen-size beds +1 single bed floor futon) 人數 (F) 小計 (G=E*F) 每人的膳宿費 (E) 房客人數 # of adults per room # of people Rate per person $247.00 Single adult C1 $ 單人一房 $158.00 C2 $ 2大人一房 2 adults to a room $128.34 3 adults to a room C3 $ 3大人一房 $113.50 C4 $ 4大人一房 4 adults to a room $104.60 C5 $ 5大人一房 5 adults to a room(futon) Children stay with parents 隨身兒童 C6 $ $45.00 (6 ~ 11 year old) (6 ~ 11 歲) 免費 Free Free 嬰兒 (0~5 歲) Infants & kids (0~5 year old) Room preference 頂樓(top fl) 中樓(middle fl)底樓(bottom fl) 房間選擇膳宿費合計 Meals&Lodging Subtotal (D=C1+C2+C3+C4+C5+C6) D$ 可依需要另外安排嬰兒床(Baby Cribs available based on requests) . Eastside Lodge (1 double bed + 2 sets bunked) 人數 (F) 小計 (G=E*F) 每人的膳宿費 (E) 房客人數 # of adults per room # of people Subtotal Rate per person 207.00 Single adult G1 $ 單人一房 138.00 G2 $ 2大人一房 2 adults to a room 115.00 G3 $ 3大人一房 3 adults to a room 103.60 G4 $ 4大人一房 4 adults to a room 96.60 G5 $ 5大人一房 5 adults to a room 92.00 G6 $ 6大人一房 6 adults to a room Children stay with parents G7 $ 45.00 (6 ~ 11 year old) (6 ~ 11 歲) 免費 Free Free 嬰兒 (0~5 歲) Infants & kids (0~5 year old) Room preference 頂樓(top fl) 中樓(middle fl) 底樓(bottom fl) 房間選擇膳宿費合計 Meals & Lodging Subtotal (H=G1+G2+G3+G4+G5+G6+G7) H$ ***Early bird registration discount 提早報名折扣 J$ 總金額 Grand Total=(D+H-J) $ B 費用計算举費用計算举例：一個家庭父母和兩個孩子（7 一個家庭父母和兩個孩子（7歲和4歲（7歲和4歲）歲和4歲）住一個房間在 Wind River， River，總費用 = 2 × $158 (2大人) + $45 (7歲兒童) + $0 (4歲兒童) = $361. 附註1: 兒童或青少年須與成人同住. Children or youth must share a room with adults. 附註2: 每個房間最多住 5人(Wind River), 6人(Eastside), 若您打算與人同住, 請自行安排室友, 並將室友的名字寫在下面﹐或註明由大會安排室友. The maximum number of people per room is 5 for Wind River & 6 for Eastside. If you would like to be in a room with others, please provide the names of your roommates below, or let us arrange it. (No roomates exchange during retreat). 自行安排之室友於大會期間恕不更換 *** 若於 5/10/2015 或之前報名 (以收到支票為准), 每人膳宿費用可減 $5. If registration is received on or before 5/10/2015, the meals and lodging fee can be reduced by $5 per person Page 2 of 2