家長同意書 Parent’s Consent Form
*大埔北區童軍會 Scout Association of Hong Kong - Tai Po North District *
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備註 Remarks
1. 申請表格內填報的個人及其他有關的資料，會供本會處理申請參與活動／訓練班及有關的用途。
在表格內提供的個人及其他有關資料純屬自願。然而，如果沒有正確或足夠的資料，本會可能無
法處理有關的申請。
 The personal data and other related information provided in the application form will be used by the
Association for dealing with the application for participating in the activity / course and other related
purposes. The provision of personal data and other related information by means of the application form
is voluntary. However, we may not be able to process the application if no accurate or adequate data is
provided.
2. 在一般情況下，報名表將於活動／訓練班完成後6個月銷毀。
 Application form will normally be destroyed 6 months after completion of the activity / course.
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參加者名稱 Name *
聯絡電話 Contact No. *
所屬旅團 Scout Group *
所屬單位 Scout Sections *
活動／訓練班名稱 Activity / Course Title *
舉辦日期 Date *
MM
/
DD
/
YYYY
舉辦地點 Venue *
<<聲明>> 本人已清楚上述活動／訓練班之主要內容，且確知敝子弟之健康情況適宜參與有關活動。現同意敝子弟參與上述活動／訓練班 I certify that I have acknowledged the content of the above activity / course and the health condition of my son / daughter is suitable for the activity. Thus, I hereby agree my son / daughter to participate in the above activity / course *
特別健康情況（例如敏感、哮喘等）Special health condition （e.g. allergy, asthma etc)
本人為: *
家長／監護人姓名(正楷): *
家長／監護人聯絡電話 *
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