為食起革命2017識食嘉年華登記表格 Food Revolution Mini-Carnival Application Form
多謝支持《為食起革命》!煩請填妥以下登記表格,以便進行抽籤。抽中人士將於活動前 (5月15日或之前) 獲專人通知,額滿即止。

Thank you for your interest about 2017 Food Revolution Activities. Please fill the follow form for activities application. Successful candidate will be selected by drawing lots and confirmed by email on or before May 15(Mon).

《為食起革命》www.frd.asia 香港統籌 Organiser of Food Revolution Asia (HK):Go.Asia 愛心起動 www.go.asia

1. 請問閣下如何知悉 為食起革命 2017 活動? *
Where did you learn about the 2017 Food Revolution activities?
你希望參加我們那項活動?Which activity do you want to join? *
註:每位成人家長只能帶同1位(6至12歲)小朋友參加。 Only 1 kid (Age 6-12) can come along with 1 adult
Required
聯絡資料 Contact Information *
參加者姓名 Name of Participant(參與活動小朋友之姓名)
Your answer
聯絡人 Contact Person(成年監護人 Parent / Guardian)
先生/太太 Mr/ Ms
聯絡人姓名 Name *
Your answer
電郵 Email *
Your answer
聯絡電話 Tel/ Mobile *
Your answer
歡迎閣下提出寶貴意見 Your opinions are valuable to us, please specify as below:-
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