AMEC Study Tour Application Form (U18)/ 遊學報名表

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Student Name/ 學生姓名 *

Parent's Name/ 家長姓名 *

Parent's Email/ 家長電子信箱 *

Parent's Line ID/ 家長 Line ID
*

Child’s date of birth/ 孩子的出生年月 *

YYYY

Are parents (Guardians) Accompanying/ 父母(監護人)是否陪同 *

否，遊學期間父母不在孩子身邊，由學校安排寄宿家庭住宿

是，會自行安排當地住宿

是，請協助介紹旅行社安排住宿

Other:

Required

When are you going/ 預計參加什麼時候的遊學課程 *

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