JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.
岩究所y17【安全攀登規則Rock Climbing Safety Rules】
Sign in to Google
to save your progress.
Learn more
* Indicates required question
立同意書人
請填寫真實資料 (本資料僅作聲明使用，絕不對外揭露)
以上安全規範均確認且確認無誤 *
如無法保證自己願意聽從教練指示及不願遵守場地規範. 請取消訂單.
是 , 確認且詳讀. 如因自己違反規定做出危險動作導致受傷或他人受傷願負責.
姓名Name
*
Your answer
E-mail
*
Your answer
電話Phone
*
Your answer
生日(西元 年/月/日)Birthday
*
Your answer
未成年監護人(姓名)Guardian
Your answer
緊急聯絡人姓名Emergency Contact Person *
*
Your answer
緊急聯絡人電話Emergency Contact Phone *
*
Your answer
本次來是參加哪類活動? *
*
體驗(有教練帶)
課程(初岩、技巧班、先鋒 等)
活動(講座、主題活動)
綜合攀登(持照上攀)
備註
Your answer
Submit
Clear form
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google.
Report Abuse
-
Terms of Service
-
Privacy Policy
Forms
