大學及學院青年會協會 Alliance of University & College YMCAs 童叟·宜嬉 報名表格 Play Beyond Limit Application Form
日 期:2018年4月14日(星期六)
時 間:12:30- 18:30
參賽資格: 一人或二人組隊
對 象: 全日制本地大專生(必須為大學及學院青年會會友)
活動收費:$30
查 詢:Table (90806219)/Vivian (65783789)
Facebook: Alliance of University & College YMCAs

**香港大學參加者請於此處報名:http://wp.cedars.hku.hk/form/PBL

***參加者必須網上報名後的三日內到所屬大學青年會或學院青年會辦公室(http://www.ymca.org.hk/zh-hant/contact-us )繳交所有費用才獲取錄,否則可能將被取消資格

Date: 14th April, 2018 (Saturday)
Time: 12:30- 18:30
Eligibility: 1 player or a team of 2 players
(Joint university/college teams are welcome; the Organiser will form a random team of 2 for the individual players)
Target Participant: Full-time university/college students (must be member(s) of University & College YMCAs)
Fee: $30
Contact:Table (90806219)/Vivian (65783789)
Facebook: Alliance of University & College YMCAs

**Participants from the University of Hong Kong, please register here: http://wp.cedars.hku.hk/form/PBL

***Participants are required to submit the application fee in the corresponding University or College YMCAs office of his/her own institution within 3 days after the submission of application.

參加者人數 Number of participants *
隊員1 個人資料 Personal Information of Member 1
英文全名 Full name in English *
Your answer
中文全名 Full name in Chinese *
Your answer
性別 Gender *
年齡 Age *
Your answer
學生証號碼 Student ID *
Your answer
就讀院校 University/College *
聯絡電話 Mobile *
Your answer
電郵地址 Email *
Your answer
會友編號 Membership Number *
Your answer
如閣下已忘記/未知會友編號,請填上 "AIP"。如閣下未成為本會會友,請填上"N" 及填妥會友申請表,連同會費遞交至所屬院校之大學青年會/學院青年會辦公室。
If you've forgotten/do not know your membership number, please fill in "AIP". If you're not a member yet, please fill in "N" and submit the completed application form with membership fee to the Uni-Y or College-Y office of your institution.
會友證有效日期 Membership Expiry Date (YYYY-MM-DD) *
Your answer
緊急聯絡人姓名 Emergency Contact Person (English or Chinese Full Name) *
Your answer
緊急聯絡人電話 Emergency contact number *
Your answer
與緊急聯絡人之關係 Relationship with Emergency Contact Person *
Your answer
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