加拿大靈巖山寺佛青班報名表Registration Form of Buddha Youth ClassThank you for your interest in our youth group. There are two terms each year so registration enrols you for either April or October.We will contact you after receiving your registration form. Chinese Name 中文姓名 * English Name 英文名字 * 皈依法名 Dharma Name 性別 Gender * 男 Male女 Female 出生日期 Date of Birth * 年齡 Age * 出生地 Place of Birth * 國籍 Nationality * — Select —CanadaChinaTaiwan 身高 Height (CM) * 體重 Weight (KG) * 就讀學校 Attending school * 年級 Grade Year * 曾參加靈巖山寺佛童班 * YesNo 精通語言 Language * 中文 Mandarin廣東話 Cantonese英文 English法文 French 受戒類別 Ordination * — Select —未皈依 Haven’t taken refuge皈依三寶 Taken refuge 受持五戒 Received Five Precepts受持在家菩薩戒 Received Bodhisattva Precepts Address Line 1 * Address Line 2 City * Province * Zip Code * Country * 住家電話 Home Phone 佛青手機 Youth Phone 佛青電子信箱 Youth Email * 父親姓名 Father's Name 父親法名 Father's Dharma Name 父親手機 Father's Phone 母親姓名 Mother's Name 母親法名 Mother's Dharma Name 母親手機 Mother's Phone 兄弟姊妹 Siblings’ Name 認識的佛青 Volunteer(s) You Know 參加因緣/Reason of Joining * 朋友介紹 Recommendations from friends父母要求/Parents’ request海報刊物介紹 Posters/Magazine義工時數要求 / Volunteer Hours Needed自願/Volunteer由佛童班晉升 / Graduated from Fú tóng bān 提交報名 Submit Registration