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C2 Sports Academy 會員申請表🏀🏀🏀
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基本資料
請填寫以下學員基本資料及聯絡方式。
學員姓名(中文全名) Full Name in Chinese
*
Your answer
學員姓名(英文全名) Full Name in English
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Your answer
學員出生日期(年/月/日) Date of Birth(YY/MM/DD)
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MM
/
DD
/
YYYY
學員性別 Gender
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男 Male
女 Female
現正參與的 C2 Sports Academy 籃球訓練班 Training District
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灣仔 (及中西) 區
深水埗區
荃葵區
沙田區
將軍澳區
屯門區
Other:
Required
家長/監護人姓名 Parent/Guardian Name
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Your answer
與學員關係 Relationship to student
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Your answer
家長聯絡電話號碼 (有Whatsapp功能) Parent's Contact Number (registered to Whatsapp)
*
Your answer
家長聯絡電子郵件 Parent's Contact Email
*
Your answer
現居地址 Student's Residential Address
*
Your answer
就讀學校 School Name
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Your answer
就讀年級 Class/Grade
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K1
K2
K3
P1
P2
P3
P4
P5
P6
中學 Form 1
中學 Form 2
中學 Form 3
Other:
籃球訓練經驗 Any basketball experience?
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有。請於「其他」填寫曾經受過的籃球訓練及時間。
沒有。
Other:
學員「其他運動」經驗⚽️🎾🏸🏓🏊🏼
*
沒有其他運動經驗❌
游泳🏊🏼
田徑🏃🏻♂️
單車 / 平衡車 🚲
足球⚽️
Other:
Required
學員有沒有任何特殊病徵、過敏、特殊教育需要 或 需特別注意的地方： 有/ 沒有
沒有 No
有，請於「其他」註明 Yes (Please specify in "Others")
Other:
Clear selection
加入會員 Become a Member
請填寫以下資料並安排繳付首年會員費。
填妥此會員表格後，請連同劃線支票(抬頭請寫 「C2 Sports Academy Co. LTD.」)於繳交學費時一併交回。
會員類別 Member Type
新會員(一人) $450 New member $450
新會員(二人或以上同行) $300/位。如有，請於「其他」填寫同行新會員姓名 New member(2 or above) $300 per person. Please state the new joiner's name in "Others" .
Other:
Clear selection
新會員將獲赠雙面球衣及短褲一套。New member will receive a set of reversible basketball jersey & shorts for free.
請選擇希望收到的球衣及短褲尺寸(球衣及短褲必須為相同尺寸):
Please choose a size. The jersey and shorts should be in the same size.
*
Choose
細碼 S
中碼 M
大碼 L
加大碼 XL
雙加大碼 XXL
三加大碼 3XL
自選球衣燙印號碼(可選擇0-99的號碼) Please choose your jersey number, from 0 to 99.
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Your answer
自選球衣燙印名稱(最多8個英文字母) Please choose a name to be printed on your jersey, maximum 8 English letters.
*
Your answer
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