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國際兒童運動智能大賽2018香港區選拔賽
報名表格 Registration Form

參賽資格Eligibility

 

 Children born on 1st Jul 2009 to 21st Jun 2014

200971日至2014621日出生之兒童

 

參賽者英文姓氏 (eg: Chan) (必填Must fill in)
參賽者英文名稱 (eg: Tai Man) (必填Must fill in)
參賽者中文全名Child’s Full Name in Chinese (eg: 陳大文)
性別 Gender
參賽者出生日期 Date of Birth(dd/mm/yyyy)(必填 Must fill in)
初選出席日期:

HK Selection Date
日期
時間

以上日子均未能出席, 請通知下一輪初選日期
Please inform me the next round selection date

就讀學校 School Name (必填 Must fill in)
居住地區 Home Region
T-恤呎碼 (胸圍, 衣長, 袖長)
T-Shirt Size (Width, Length, Sleeve)

110cm (66,47,12)120cm (70,50,13)130cm (74,53,14)140cm (78,56,15)

家長/聯絡人英文姓氏Parent’s Last Name in English(eg: Lee)
家長/聯絡人英文名稱Parent’s First Name in English(eg: Siu Ching)
家長/聯絡人中文全名Parent’s Full Name in Chinese(eg: Lee Siu Ching)
家長聯絡電話(手機) Contact No. (Mobile)(必填 Must fill in)
你的電郵地址 Your Email Address(必填 Must fill in)
緊急聯絡人姓名與聯絡電話 Emergency Contact Person & no.(必填 Must fill in)

付款人英文姓名 Full Name in English of Payee
家長同意書/Parental Consent Form

謹此聲明本人是在完全明瞭上述賽事的性質及體適能要求情況下為孩兒報名參賽,並願意遵守有關比賽規則。同時聲明參賽者身體有足夠能力參與上述賽事,而本人已清楚孩子的身體狀況並確定沒有任何疾病,並願意承擔自身的意外風險及責任並無權向亞洲運動心理專業聯會因參與上述賽事而引至之任何形式的損失索償或追討責任。所有比賽規則及獎項如有任何更改,恕不預先通知。如有爭議,本會保留一切最後決定權。

I hereby declare that with the signing up of my child for the Global Children’s Game (mentioned below as “event”), I fully understand the followings: the nature of the event, the fitness requirements of the child and am willing to comply with the rules and regulations of the competition. I declare that my child's body has sufficient physical capacity to participate in the above event. I am clear that my child is in good physical condition and I can confirm that my child does not have any pre-existing disease that will affect him or her in participating in the event. I am willing to bear responsibility of any potential accidental risks and responsibilities and have no right to claim any form of loss or liability from Asian Sport Psychology Professional Alliance Limited (ASPPA) due to participation in the event. All the rules and awards of the event are subject to change without prior notice. In case of dispute, ASPPA reserves the right to make the final decision.

同意並已閱讀以上條文 Agree and have read the above provisions


*請保留paypal/信用卡/ATM付款記錄, 並把付款記錄透過電郵發送至info@asppa.hk或用whatsapp發送至6716-5851, 訊息內請註名參賽者姓名。收到付款記錄後報名程序方告完成.