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「音樂無限」送暖音樂會報名表 (安老院舍及長者中心)
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一、基本聯絡資料 Basic Contact Information
機構名稱
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機構地址
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申請人姓名 Name of Applicant
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職位 Job Position
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聯絡電話 Phone no.
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電郵 Email address
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預計參加人數
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預計活動地點
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中心禮堂/活動室
中心飯堂
本中心 (新蒲崗 或 觀塘)
Other:
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如何挑選是次活動的參加者？ How to select this program's participants?
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如參加者有以下情況，請標明以作適當安排：To arrange special consideration, please inform us if participants have the following special conditions.
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行動不便/使用輪椅 Accessibility problem / wheelchair users
聽障 Hearing impaired
視障 Visual impaired
認知障礙 Dementia
Other:
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