報名表 – 迪泳會

迪泳會線上報名表

參加者中文姓名 (CHINESE NAME)*

參加者英文姓名 (ENGLISH NAME)*

出生日期 (DATE OF BIRTH)*

身份證號碼 (H.K. I.D NO.)

性別 (GENDER)

男 (MALE)
女(FEMALE)

聯絡電話 (PHONE NO.)*

電郵地址 (EMAIL)*

請選擇分區 (Which district do you prefer?)*

請問從哪裡認識本會 (How do you get to know us?)

朋友/學生介紹 Friends
廣告 Advertisement
Facebook/Instagram
傳媒報導 Media

責任聲明 Declaration *
本人(參加者家長/監護人)現聲明敝子女(參加者)的身體健康及體能良好並適宜參加由迪泳會舉辦之活動/課程/訓練班及承擔有關風險。本人同意如敝子女參加有關活動/課程/訓練班而引致財物損失或人命傷亡，迪泳會及/或其主管人員無須負任何責任。*
I declare that I am in good physical condition and capable of participating in the course I have applied to and will not recover compensation from the Club or the staff of the Club in case of physical injury and property loss incurred due to the participation in the activities of the Club.*

同意 (AGREE)