2024 West Coast Remnant Winter RetreatΔFirst NameLast NameEmailPhoneAddressAddress Line 1Address Line 2CityStateZip CodeCountrySelect CountryAfghanistanAland IslandsAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelauBelgiumBelizeBeninBermudaBhutanBoliviaBonaire, Saint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBritish Virgin IslandsBruneiBulgariaBurkina FasoBurundiCambodiaCameroonCanadaCape VerdeCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos (Keeling) IslandsColombiaComorosCook IslandsCosta RicaCroatiaCubaCuraçaoCyprusCzech RepublicDemocratic Republic of the Congo (Kinshasa)DenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard Island and McDonald IslandsHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyIvory CoastJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKosovoKuwaitKyrgyzstanLaosLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacao S.A.R., ChinaMacedoniaMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth KoreaNorthern Mariana IslandsNorwayOmanPakistanPalestinian TerritoryPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRepublic of the Congo (Brazzaville)ReunionRomaniaRussiaRwandaSaint BarthélemySaint HelenaSaint Kitts and NevisSaint LuciaSaint Martin (Dutch part)Saint Martin (French part)Saint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth Georgia/Sandwich IslandsSouth KoreaSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan MayenSwazilandSwedenSwitzerlandSyriaTaiwanTajikistanTanzaniaThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkeyTurkmenistanTurks and Caicos IslandsTuvaluUgandaUkraineUnited Arab EmiratesUnited Kingdom (UK)United States (US)United States (US) Minor Outlying IslandsUnited States (US) Virgin IslandsUruguayUzbekistanVanuatuVaticanVenezuelaVietnamWallis and FutunaWestern SaharaYemenZambiaZimbabwe성별 Gender Male Female생년월일 Date of Birth (yyyy-mm-dd)학교 Name of School (2024-2025)학년 Grade (2024-2025) None 4th 5th 6th 7th 8th 9th 10th 11th 12th College / University Graduate School Young Adult교회명 Church교회 직분 Church Position/Ministry- Select -Remnant 렘넌트Young Adult 청년Layperson 평신도Deacon 집사Anoited Deacon 안수집사Encourager 권사Elder 장로Assistant Pastor 전도사Pastor 목사Pastor's Wife 사모Missionary 선교사Etc 기타Registering for Team Leader? (Grade 12 and above) 귀하는 팀리더로 섬기길 원하십니까? Yes NoLanguage Preference 선호하는 언어 English Korean Other Other Language Preference 기타 선호하는 언어를 적으세요Medical / Allergy Information 기타사항-알레르기, 약물, 버릇, 질병 기타 등등 중요한 안내(동의서 내용)-반드시 부모도 사인해야 합니다..1. 수련회 기간 동안 휴대폰, 타블릿, 노트북 등 전자 기기는 일괄적으로 수거합니다.2. 수련회 분위기에 맞지 않는 물건은 가지고 오지 않는 것을 원칙으로 합니다..3. 수련회 기간 동안 스탭과 팀장의 지시에 따르지 않을 시에는 귀가 조치 될수도 있습니다..4. 수련회 기간 동안 개인의 소지품은 본인이 잘 관리하는 것이 원칙입니다..5. 경우에 따라 스탭이나, 교역자들이 필요하다고 느낄때 상담을 할 수 도 있습니다..6. 모든 프로그램에 적극적으로 참여합니다..7. 수련회 기간 동안에 수련회 장소 밖으로 이탈하지 않을것을 동의 해야 합니다..8. 팀장에 사인을 했더라도 경우 따라 팀장을 맡지 않을 수도 있음을 알려드립니다.. Important instructions (consent form)—parents must also sign it..1. During the retreat, electronic devices such as mobile phones, tablets, and laptops will be collected in batches..2. As a rule, do not bring items that do not fit the atmosphere of the retreat..3. If you do not follow the instructions of the staff and team leader during the retreat, you may be sent home..4. During the retreat, it is a rule to take good care of your personal belongings..5. In some cases, staff or pastors may be able to consult when they feel the need..6. Be actively involved in all programs..7. You must agree not to leave the retreat during the retreat..8. Please note that even if you have signed the team leader, you may not be the team leader in some cases.. I have read and agree to the Terms and Conditions and Privacy PolicyI agree to follow the Terms and Conditions - Enter your name as digital signatureDigital Signature of Parent of Guardian (If You are an Adult, Type Your Name)Offering for registration 등록헌금 1nd General (12/1-12/15) : $280 Pastor(목사) / Assistant Pastor(전도사) : ($100) 2in1 Room (Adults Only) : $3502인1실을 신청하시거나 동반자녀가 있는 경우는 등록폼을 작성 후 미셀 집사님에게 따로 연락 주시기 바랍니다. (이미셀 집사 310-634-8900)If you are registering for 'double occupancy' or have accompanying children, please contact deaconess Michel separately after submitting the registration form. (Deacon Michelle Yi 310-634-8900)Payment Method Pay Online Now with Card (Stripe) Payment Later (현장납부 $300)Pay Online Now with Card (Stripe)Submit Informaition