ICTeens Challenge Camp (ICTeens挑戰營)
- Event Timing: January 21st-22nd, 2017, 15:00-14:00 (2 day 1 night camp)
- Event Address: Breakthrough Youth Village, No.33 A Kung Kok Shan Road, Sha Tin, N.T. Hong Kong
- Event Website: www.ymca.org.hk/ifocus
- IFocus Facebook: IFocus - Chinese YMCA of Hong Kong
- Contact us at (852) 2886-2751 (Mr. Nico Tsui), (852) 2413-3111 (Mr. Ken Ho) or Email: ifocus@ymca.org.hk

-活動日期:2017年1月21-22日 下午3:00-翌日下午2:00
-活動地點:突破青年村(新界沙田亞公角山路33號)
-活動網址:www.ymca.org.hk/ifocus
-IFocus工作小組Facebook專頁:IFocus - Chinese YMCA of Hong Kong
-聯絡人 (852) 2886-2751 (Mr. Nico Tsui), (852) 2413-3111 (Mr. Ken Ho) 或電郵至ifocus@ymca.org.hk

Poster
Name of Applicant (In English) (參加者姓名)(英文) *
Your answer
Name of Applicant (In Chinese) (參加者姓名)(中文)
Your answer
Contact Number (聯絡電話) *
Your answer
Gender (性別) *
Other Contact Method (Facebook ID) (其他聯絡方法:Facebook帳號)
Your answer
Personal Email Address (個人電郵地址)
Your answer
Name of School (學校名稱)
Your answer
Form (就讀年級) *
Form (就讀年級) *
Pick Up Time and Location: (To Campsite) (集合地點及時間) *
Required
Dismissal Arrangements (From campsite) (離營安排,由營地) *
Required
Are you a CYMCA member? (你是否香港中華基督教青年會會員?) *
Required
If yes, what is your membership number? (如是,你的會友編號是)
Your answer
Privacy Statement: (個人資料(私隱)收集聲明)
The Chinese YMCA of Hong Kong ("CYMCA") will observe and comply with the Personal Data (Privacy) Ordinance and ensure the accuracy and security of your personal data. Your personal data (including your name and e-mail address) may be used by telephone, mail, or e-mail for communications, fundraising, promotional activities, research surveys and other communications and promotional purposes. If you wish to stop receiving the above information, please e-mail the full name in English and Chinese, membership number and telephone number to member@ymca.org.hk to arrange for the deletion. For inquiries, please call 2783 3370 to contact us.

香港中華基督教青年會(下稱「本會」)會遵守及履行個人資料(私隱)條例之規定,並確保你的個人資料準確及安全。閣下的個人資料(包括你的姓名、電郵地址及其他)或會被本會透過電子郵件,用作聯絡通訊、籌款、推廣活動、研究調查及其他通訊及推廣之用途。若您希望停止接受本會資訊,請將中英文全名、會員證號碼及電話號碼,電郵至member@ymca.org.hk 以辦理相關手續。如有查詢,請致電2783 3370與本會聯絡。

Disclaimer: (網上收集資料程序聲明)
This questionnaire, including attachment(s), may contain privileged and confidential information. Any unauthorized copying, disclosure, distribution of the material or use of information contained in this questionnaires strictly prohibited. Internet communications cannot be guaranteed to be secure, timely, error or virus-free. The Association does not accept any liability whatsoever for any losses or damages incurred or caused from any part of this information transmission.

此調查問卷(包括附件)可能僅供指定收件人閱覽和機密之資料。任何未經授權的複製,披露,分發材料或使用本調查問卷中包含的信息均嚴格禁止。網際網路通信不能保證完全安全、毫無延誤、錯漏/缺失或含有病毒。本會不對因本調查問卷傳輸的任何部分所造成的任何損失或損害承擔任何責任。

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