香港国际单线滚轴曲棍球杯2009资料集
APPENDIX A - Team Registration Form附页A 队伍登记表Due 1 October 2009 截止日期 2009年10月1日 NAME OF TEAM团队名称:
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| NAME OF CONTACT PERSON
联络人:
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| CONTACT PHONE NUMBERS联络电话:
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| CONTACT EMAIL ADDRESS联络电邮:
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| Please indicate with
LARGE TICK √
which divisions your team is enrolling to compete
请在适当组别上加√
号
| 8 years & Under 8岁或以下
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| High School
中学组
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| 10 years & Under 10岁或以下
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| Ladies
女子组
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| 12 years & Under 12岁或以下
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| Mens
男子组
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| 14 years & Under 14岁或以下
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| Recreation
康乐组
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Number of Teams Registration
参赛队伍数目:
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| Team Enrollment Fee (HK$5200.00 per team)
每队参赛费用: 港币 $ 5,200.00
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| Team Enrollment Fee Early Bird (HK$4400.00 per team)
预早报名折扣优惠: 每队港币$ 4,400.00
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| (A) Registration Subtotal | 报名费总数
| 2009HKIC Welcome BBQ (state nos of attendees)
欢迎烧烤派对:
| Youth Event FREE OF CHARGE. Venue KPCC京士柏百周年纪念公园举行,费用全免。日期稍后公布。
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No of youths
No of Adults
青少年人数
_________
成年人人数
_______
| Adults Event HK$100.00 per person Early Bird Price. (Valued at +HK$300.00). Tuesday 17 November 2009. Venue Eaton Hotel. (HK$150.00 purchased on the day)
成人烧烤晚餐,每位港币$300.00。预早报名优惠每位港币$100.00。
日期09年11月17日,香港逸东酒店举行。当天付款每位港HK$150.00
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No of Adults.
X HK$100.00 Early Bird Price
预早报名成年人数目_______ X HK$100.00
| 成人烧烤费用总数(B) Adult BBQ Subtotal |
| (A+B) 费用总数(A+B) Total Amount Paid |
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We the undersigned do affirm that the information provided on this form is true and correct and we hereby make application to submit our team(s) to participate in the 2009 Hong Kong Inline Cup.
We agree to abide by the rules and regulations as set out in the 2009HKIC Information Pack.
We understand that we are responsible to ensure our players and officials have full medical and travel insurance and that we acknowledge this is not in any way provided by Hong Kong, China Inline Hockey Association Limited.
We also understand that any medical treatment in Hong Kong may require full payment at the time of treatment.
我,以下签署者,确保以上提供的数据无误及有权代表我队报名参加2009年香港国际单线滚轴曲棍球杯,并同意遵守大会所有规则及守则。我明白大会并不负责所有队员及随团工作人员的医疗及旅游保险。我同时明白在香港及比赛期间,如需要医疗服务,必须先全数支付医疗费用,再向保险公司索偿。
Signature签名:
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| Print full name正楷全写:
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| Position/Title职衔:
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Note: All Welcome BBQ requires advance confirmation of attendance to ensure non wastage of food and better planning our resources.
All proceeds are used for the development of inline hockey in Hong Kong.
大会为以免浪费食物,如有兴趣参加,请尽早报名。收益扣除开支后,会用作发展及推广香港单线滚轴曲棍球活动。 |