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生命前線帆船事工－船員資料表
LFL Open Voyage Crew Information Form (v22.01O)
請每位參加者各自填寫一份船員資料表
Please fill in a SEPARATE FORM for EACH participant
所有資料都會保密，只作內部行政用途。
All information will be kept confidential and used for internal administrative purposes only.
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請填妥以下資料
Please Fill in Details Below
旅程首天日期
*
First Day of Voyage
MM
/
DD
/
YYYY
旅程類別
*
Type of Voyage
3天(單日) Learn to sail 課程
帆船增潤日 (Sailing Enrichment Day)
帆遊香港系列 (Embracing HK Sail)
“JOY” 海上旅程 (JOY Sailing)
教牧 "清心之旅"
心靈飛航 (Soul Sailing)
偷得浮生半日閒 (Half-day Sailing)
Sunset Sailing
星夜航海旅程 (Night Sailing)
青少年海上學堂 (Youth Sea School)
一天體驗旅程
2天帆船探索
Other:
中文全名
*
Your answer
Full Name in English
*
Your answer
稱呼 Nick Name
Your answer
性別 Gender
*
男 Male
女 Female
年齡組別 （以旅程首天計）
*
Age Group (on First Day of Voyage)
Choose
5 - 9
10 - 12
13 - 17
18 - 25
26 - 35
36 - 59
60 - 65
聯絡電話 Contact Phone Number
*
Your answer
聯絡電郵 Contact Email
*
Your answer
職業／就讀院校
Occupation / School
Your answer
同行報名伙伴 (如有)
Companion (if any)
Your answer
閣下是否善泳？
*
How do you rate your Swimming ability?
Choose
1. 甚懼怕水 Fear of water
2. 不諳泳術 Non-swimmer
3. 有水泡、浮板、救生衣時，可以游泳 Able to swim with buoyancy aid
4. 沒有助浮物下可游超過50m Able to swim more than 50m without buoyancy aid
閣下有否任何有機會影響到旅程中個人安全的 醫療狀況 / 敏感 / 健康風險？
*
Please specify any medical conditions/ allergies /health risk that might affect personal safety during the activities associated with the sailing trip.
沒有 None
哮喘 Asthma
心臟病 Heart disease
嚴重敏感 Serious allergy
腦毛病 Brain disease
癲癇 Epilepsy
衛生署需要通報的傳染病 Contagious disease
血液毛病 Blood disease
懷孕 Pregnancy
Other:
Required
閣下有否曾經參與生命前線帆船事工的旅程？如有，請在「其他」一欄提供資料（如大約年份或團體等)
Are you a past participant of LFL voyage(s)? If Yes, please provide details in "Other" session (e.g. year, group, etc.)
沒有 No
Other:
Clear selection
閣下是否基督徒?
*
Are you a Christian?
是 Yes
沒有宗教信仰 No Religious Belief
Other:
若教牧同工參加，請註明教會或機構名稱
For pastoral workers, please indicate the name of the church or institution
Your answer
緊急聯絡人 (請註明關係, 如父母，配偶，親屬等)
*
Next of Kin (Please specify the relationship, e.g. parents, spouse, relatives, etc.)
Your answer
緊急聯絡人電話 Emergency Contact
*
Your answer
我對旅程的期望
*
Your expectations towards the voyage
Your answer
閣下是否同意生命前線使用閣下的個人資料作活動推廣用途？(我們不會把你的個人資料給予第三方)
*
Do you agree that Life Front-line use your personal data for promotional purposes only? (We will not give your personal information to third parties)
同意 Agree
不同意 Disagree
*
本人謹此聲明本人給予生命前線有限公司的資料全部屬實 I hereby declare that all the information provided by me to LFL is accurate to the best of my knowledge
Required
活動條款及細則 Terms & Conditions：
http://en.lifefrontline.org/index.php/services/terms-conditions/
*
本人已閱讀並同意以上 「活動條款及細則」 I have read & agree with the above "Terms & Conditions"
Required
確認報名
Enrolment Confirmation
在收妥每位參加者的 (1) 繳款記錄 及 (2) 船員資料表後，報名程序才正式完成，我們會用 WhatsApp 確認及為你(們)預留位置，先到先得，額滿即止。若一直未有收到有關確認訊息，請確保已完成繳款及已提交繳款記錄 (WhatsApp 67468359) 及船員資料表，然後盡快與我們聯絡。
ENROLMENT WILL ONLY BE CONFIRMED by Whatsapp AFTER (1) PAYMENT RECORD & (2) CREW INFORMATION FORM of EACH participant have been received on a first com first serve basis. If you haven’t receive the confirmation message from us, please make sure you have settled the payment and submitted payment record (WhatsApp 67468359) and crew information form and then contact us as soon as possible.
*
本人已閱讀並明白以上「 確認報名」程序 I have read & understand the above "Enrolment Confirmation" procedure
Required
生命前線有限公司是根據香港《稅務條例》第88條註冊的慈善機構，註冊編號為91/10270。本機構所有收入均按機構章程作慈善用途。
請按「提交」以完成船員資料表，謝謝 😊
Please press "Submit" to complete the Crew Information Form. Thank You 😊
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