擁抱自然‧迎接挑戰訓練營 Hug The Nature ‧ Embrace The Challenges ‧ Training Camp
報名表 Application Form
訓練營標題 Training Camp Title
# 未滿18 歲之參加者須由家長/監護人填寫此表格 Participant Aged Under 18 Consent and Declaration from Parent/Guardian
1) 參加者資料 Applicant Information:
中文姓名 Chinese Name
中文姓名必須跟身份証上的中文姓名相同,此姓名將會列印在完成証書上 Chinese name must be same as HKID and will be printed on completion certificate
英文姓名 English Name *
英文姓名必須跟身份証上的英文姓名相同,此姓名將會列印在完成証書上 English name must be same as HKID and will be printed on completion certificate
英文名 English Nickname
性別 Gender *
出生日期 Birth Date *
MM
/
DD
/
YYYY
手提電話 Mobile Number *
建議輸入具有 Whatsapp 或微訊功能之手提電話 Suggest to provide mobile number which supports Whatsapp or WeChat
電郵地址 Email Address *
同行參加者之英文姓名 English Name of First Applicant
如有 (Optional)
語言 Language *
優良 Fluent
可以 Fair
不懂 Unknown
英語 English
廣東話 Cantonese
普通話 Putonghua
2) 營衫資料 Camp Tee Information:
營衫尺碼表 Camp Tee Size Chart
營衫尺碼 Size of Camp Tee *
營衫列印之名字 Name to be Printed on Camp Tee
接受英文字母, 數字或標點符號 Character, Number, and Punctuation Marks are allowed
營衫列印之號碼 Number to be Printed on Camp Tee
接受 0 至 9 個位數字或 00 至 99 雙位數字 Number from 0 to 9 or from 00 to 99 are supported
3) 家長/監護人資料 Parent/Guardian Information:
主要家長/監護人姓名 Name of Primary Parent/Guardian *
主要家長/監護人聯絡電話 Mobile number of Primary Parent/Guardian *
建議輸入具有 Whatsapp 或微訊功能之手提電話 Suggest to provide mobile number which supports Whatsapp or WeChat
主要家長/監護人與申請人關係 Relationship of Primary Parent/Guardian with Applicant *
後備家長/監護人姓名 Name of Parent/Guardian for Backup
後備家長/監護人聯絡電話 Mobile number of Parent/Guardian for Backup
建議輸入具有 Whatsapp 或微訊功能之手提電話 Suggest to provide mobile number which supports Whatsapp or WeChat
後備家長/監護人與申請人關係 Relationship of Backup Parent/Guardian with Applicant
4) 付款資料 Payment Information:
付款方式 Payment Method
付款狀況 Payment Status *
有事情需要備註給我們? Anything would like to notice us?
5) 聲明 Disclaimer:
我聲明參加者的健康及體能良好,適宜參加上述活動。如果參加者因個人的疏忽或健康或體能欠佳,而引致於參加上述課程時傷亡,動學人生有限公司則無須負責。I hereby declare that I agree to allow the applicant to participate in the above activity, and that he/she is healthy, physically fit and suitable for the activity. I also declare that I am aged 18 or above, and am healthy, physically fit and suitable for accompanying the applicant in the activity. Life Learn Limited shall not be liable for any injury or death which the participant may suffer in this activity, if the cause of injury or death is due to his/hernegligence or inadequacy in health and fitness. *
備註 Remarks
有事情需要備註給我們? Anything would like to notice us?
主辦機構資料 Organizer Information
Submit
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Privacy Policy