JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.
VD自由潛水報名表
VD Freediving Course Registration Form
Sign in to Google
to save your progress.
Learn more
* Indicates required question
報名課程與日期 When and which course are you taking?
*
Your answer
Instagram ID
*
請讓我們方便聯繫你! 如果沒有IG，請留Line/whatsapp. If you don't use instagram, please leave us your Line or Whatsapp for easier communication.
Your answer
中文姓名 Name
*
Your answer
護照姓名 Full name to appear on certification
*
請照範例填寫: Tsai, Jia Yin
Your answer
Email
*
Your answer
電話 Phone number
*
Your answer
性別 Gender
*
男M
女F
生日 Date of birth
*
MM
/
DD
/
YYYY
身分證字號 ARC/Passport
*
保險用。 For insurance purpose.
Your answer
緊急聯絡人與關係 Emergency contact name & relationship
*
Your answer
緊急聯絡人電話 That person's contact number
*
Your answer
鞋子尺寸 Shoe size
*
Your answer
身高體重 Height (cm) / Weight (kg)
*
Your answer
你會游泳嗎? Are you a swimmer?
*
為了您的安全，一定要會游泳。若報名後因為不會游泳而無法繼續上課，恕無法退費。For your own safety, swimming skill is mandatory. No refund will be issued if you drop out of the course because of not being able to swim.
Yes
No
如果你已經學過自由潛水，請描述目前程度。If you've done freediving before, tell us your experience and your current performance level.
Your answer
備註 Anything else you want to share with us
Your answer
你是怎麼找到VD的? How did you find us?
*
朋友介紹 Friend's recommendation
Google
Instagram
Facebook
Youtube
Dcard
Other:
Next
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
