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2018 全港青少年搏擊大賽 - 個人報名
主辦單位: 中國香港綜合搏擊運動總會
協辦單位: Shoot Boxing Association & 榮拳館

請於2018年6月30日前填寫以下報名表
Please submit the online application form on/before 30th June, 2018.

Email address *
中文姓名 Chinese Name
以身份證為準 Same as HKID
英文姓名 English Name *
以身份證為準 Same as HKID
出生日期 Date of Birth *
MM
/
DD
/
YYYY
性別 Gender *
手提電話 Mobile *
參加形式 Competition Format *
團體名稱 Name of Team
團體負責人需填寫團體表格 /Person-in-charge please fill in the application form : https://docs.google.com/forms/d/e/1FAIpQLSc9bGZjAoGXOF0RC3SfQwfLFIBk8XDZH_TqC5L_N2lycKpXdQ/viewform?usp=sf_link (每個團體只需填寫一次 /Each team fill in once only)
身份證號相片 ID Card Photo
參加組別 Division *
學校名稱 School Name
A、B、C組別必需填寫
年級 Class
A、B、C組別必需填寫
報名費用單據 Payment Receipt
重量 Weight(kg) *
比賽往續 Fight Records *
4場或以上比賽經驗者請於「其他」選項中以格式填寫/ if you have 4 or above fight record please fill in as format :_____場/ Bouts ____勝/ W(___KO) ____負/ L ____和 /D
健康狀況 Health Declaration *
緊急聯絡人姓名 Name of Emergency Person *
緊急聯絡人電話 Emergency Contact *
本人同意此聲明,上述資料皆確實無誤,本人明白上述資料將記錄於MCSF資料庫內,如有虛假,則將被取消申請或參賽資格,並同時作出聲明,如本人因健康、體能、個人技術或其他原因所導致的任何傷亡,概由本人負責,與主辦單位無關。I certify that the information contained above is correct, and complete to the best of my knowledge and belief. In completing this form I understand that if I wilfully give false information or withhold any material information, it will lead to disqualification for the competition. Information provided will be recorded in MCSF database. I shall take full responsibility for any injury or death which may sustain/ arise directly or indirectly as a result of this activity. *
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