敢動石籬•聖誕嘉年華 - 網上報名表格

日期 Date:
17/12/2022 (六 Sat)

時間 Time:

2:00 - 5:00pm

地點 Venue:

石籬GRIND主場(石籬圍乪街6號石籬商場1期)
Shek Lei Grind Court (Shek Lei Shopping Centre Phase 1 and Market, 6 Wai Kek Street, Shek Lei)


活動 Activities:

新興運動體驗 Emerging Sports Experience

  1. 健球體驗 Experiencing Kinball
  2. 手綿球體驗 Experiencing Taspony
  3. 地壼球體驗 Experiencing Floor Curling

荃葵青區地區組織 攤位活動 Booth Game from Tsuen Wan and Kwai Tsing District District Organization

對象 Target:
任何人士 Public
費用 Cost:
全免 Free of Charge

注意事項:
1. 小朋友必須由家長或監護人陪同出席
2. 基層家庭優先(領取綜援、在職家庭津貼或書簿津貼)
3. 參加者進入場地時需使用「安心出行」應用程式及必須在活動期間佩戴口罩

Details:
1. Children should be accompanied by parents/guardians at all times
2. Low-income families will be prioritised
(Comprehensive Social Security Assistance, School Textbook Assistance Scheme, Working Family Allowance)
3. Participants must scan the "Leave Home Safe" QR code during entry and must wear a mask throughout the whole activity

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1. 您是否荃葵青區居民?Are you a resident from Tsuen Wan and Kwai Tsing District?  *
2. 請問參加者是否領取政府經濟津貼?如是,請問參加者有領取以下哪項經濟津貼?Is the participant a beneficiary of any governmental financial aid scheme(s)? If 'Yes', which of the following scheme(s)? *
*
3. 參加者人數 (小朋友必須有家長或監護人陪同出席) 
Number of Participants (Children should be accompanied by parents/guardians at all times.)
*
4. 參加者(1) 中文/英文姓名 Participant (1) 's Chinese/English Name 
5. 參加者(1)年齡 Participant (1)'s Age 
6.  參加者(2) 中文/英文姓名 Participant (2) 's Chinese/English Name 
7. 參加者(2)年齡 Participant (2)'s Age 
8.  參加者(3) 中文/英文姓名 Participant (3) 's Chinese/English Name 
9. 參加者(3) 年齡 Participant (3)'s Age 
10.  參加者(4) 中文/英文姓名 Participant (4) 's Chinese/English Name 
11. 參加者(4) 年齡 Participant (4)'s Age 
12. 聯絡電話 (可WhatsApp聯絡)Mobile Number of Participant (Can be contacted through WhatsApp) 
*
13. 參加者電郵 Email Address of Participant
14. 請選擇出席「敢動・石籬」聖誕嘉年華的時段 Please select session *
15. 參加者是否報名新興運動體驗 (如選擇報名新興運動體驗,體驗項目將由凝動安排。) Will you join New Sports sports tasting workshop? (If you choose to participate New Sports sports tasting workshop, you will be allocated by IHKSports. ) * *
本人明白、同意及謹此聲明 I hereby DECLARE, UNDERSTAND AND AGREE that:

一、本人及所有參加者已閱讀本表格之收集個人資料聲明。本人及所有參加者於申請表內及隨附文件所載的一切資料,依我們所知均屬真確,並無遺漏。All participants have read the personal information collection statements of this form. All information given in the application form and the attached documents are to the best of our knowledge, accurate and complete.

二、本人及所有參加者謹授權以上轉介人向我們索取更新資料及/或貴機構因推行服務而須取得之額外資料,並向貴機構提供該等資料。貴機構可按本表格所述,處理有關資料。All participants hereby authorise the referrer above to obtain from us any updated information and / or any additional information that are reasonably required by your organisation and to provide the same to InspiringHK Sports Foundation. Such information may be processed by your organisation in the same manner as mentioned above in this form.

三、本人及所有參加者同意貴機構及協辦機構有權使用同學參與之活動之相片及錄像資料作推廣及宣傳用途 ,包括但並不限於刊登於印刷品上或發給傳媒。All participants agree that InspiringHK Sports Foundation has the right to use photography, audio recording, video recording and its/their release, publication, exhibition, or reproduction to be used for news, promotional and publicity purposes, advertising, inclusion on websites, or for any other purpose(s) that organizer and co-organizers deems fit to use.

四、本人及所有參加者身體健康正常,可接受正常之體育訓練及其他體育活動。All participants declare that we are in healthy condition and can receive appropriate sports trainings and other sports activities.

五、本人及所有參加者明白此活動屬自願參與性質,參加者願意承擔在活動期間之所有風險,並無權向主辦機構及協辦機構追討在活動過程中或其他原因而引致之自身受傷、意外、死亡或任何形式的損失索償或追究責任。
Disclaimer: All participants understand that he/she is joining this activity voluntarily. He/She is  willing to bear all risks during the activity. IHKSports and its Co-Organizers harbors no responsibilities for any injuries, accidents, and deaths caused by the above activity.

六、請注意,本會將對所得到的信息進行嚴格保密,感謝您的理解與合作。
Please note that the information provided will only be for internal use. 

*
Required
請留意事項 Other Details

1. 為確保公眾安全,場地人員有權檢查入場人士的隨身物件。所有人士如攜帶未經許可的物品一律禁止進場,未經許可的物品包括但不限於 –

玻璃、金屬罐或瓶,任何載有令人醺醉的酒類的東西;
任何模仿紀律部隊制服或裝備的物品,例如:仿製槍械、防毒面罩、手扣、鎖鏈;
一般危險物品,例如:刀、警棍、煙火、手拉炮、棍、棒、球棒、自拍桿、攝錄器材腳架、頭盔、爆炸品、鐳射棒、強光裝置或任何可用作武器或可能危害健康的物品、物件或物質;
任何機械或非機械性操作的發聲工具,例如樂器、手提擴音器或南非長喇叭;
任何遙控飛行裝置或玩具,例如:模型直升機、遙控飛行器;
未經授權而售賣或派發的食物、飲品、商品或宣傳品;
非法的內容、內容帶有歧視、政治含意、誹謗性、侮辱性、貶低性、褻瀆性、渲染色情、暴力、淫穢性、威脅性、誤導性、貶低種族、性別和族裔或含有排外主義、慈善或意識形態性質的物品或可能引致背離舉辦有關體育活動原意、危及公共安全、阻礙其他觀眾的視線、或有損活動聲譽的物品、旗幟、橫幅、彩旗、海報、傳單、宣傳單張
展示品及場地管理人員斷定為不適合進場的物品。

To ensure public safety, IHKSports reserves the rights to inspect the belongings of the participants. All participants who carry unauthorised items are forbidden from entering the venue. Unauthorised items include but are not limited to:

Glass, metallic cans or bottle, anything that contains intoxicating alcohol;
Any items that imitate the uniforms or equipment of the disciplined services, such as imitation firearms, gas masks, hand buckles, chains;
General dangerous items, such as knives, truncheons, fireworks, hand cannons, sticks, bats, selfie sticks, camera tripods, helmets, explosives, laser sticks, glare devices, or anything that can be used as weapons, objects or substances that may be dangerous to health;
Any mechanical or non-mechanical sounding tools, such as musical instruments, portable loudspeakers, or South African long horns;
Any remote control flying device or toy, for example, model helicopter, remote control aircraft;
Unauthorised sale or distribution of food, beverages, merchandise, or promotional materials;
Illegal content, content with discriminatory, political meaning, defamatory, insulting, derogatory, profane, pornographic, violent, obscene, threatening, misleading, derogatory of race, gender and ethnicity, or contains xenophobia, Charitable or ideological items, flags, banners, coloured flags, posters, leaflets, leaflets that may deviate from the original intent of the sports event, endanger public safety, obstruct the sight of other audiences, or damage the reputation of the event
The exhibits and venue management personnel determine that they are not suitable for entering the venue.


2. 如有以下情況,請不要出席活動。包括︰

現時及在過去 14 日於新型冠狀病毒測試中呈陽性反應或懷疑受感染,或被懷疑是新型冠狀病毒以及其他可傳播性病毒的帶菌者;
有以下任何症狀,包括發燒、乾咳、呼吸困難、乏力或感冒症狀。
曾在過去 21 日內離開香港;
與在過去 14 日內曾離開香港的任何人士有密切接觸,尤其是同住的家人;
與任何確診人士或懷疑確診人士有密切接觸。

Please refrain from attending the event if you fall into the below categories:
Tested positive, presumptively positive or been identified as a potential carrier of the COVID-19 virus or similar communicable illness;
Experienced any of the following symptoms - fever, dry cough, shortness of breath, malaise or other flu-like symptoms;
Been out of Hong Kong;
Been in close contact with any person who have travelled outside Hong Kong in the past 14 days, in particular family members living in the same household;
Been in close contact with any person who is a confirmed or probable case of the COVID-19 infection;

*
Required
感謝你填寫網上報名表。
如有任何查詢,歡迎致電2425 1496社會福利署荃灣及葵青區策劃及統籌小組黃姑娘聯絡,謝謝。
Thanks for completing the registration. For enquires, please contact Ms WONG at 2425 1496.
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