Particulars of the Participant

Remarks: For team enrolment, please a team captain or a team representative to fill in the form below.

* Questions that are required to be answered

Participant

Full Name in Chinese (Example: 陳少文) *

Remarks: For team enrolment, please fill in the team captain's or team representative's full name in Chinese.

Participant

Surname in English (Example: CHAN) *

Participant

Given Name in English (Example: SIU MAN) *

Participant

Date of birth *

Participant

Age *

Participant

Gender *

Please select an option
Male
Female

Participant

Contact Number *

Participant

Email address *

Participant

Name of Present School (If any)

Participant

Class (if any)

Participant

JPC District (If any)

Participant

JPC member Number (If any)

Participant - Parent / Guardian

Full Name in Chinese (Example: 陳大文)

(Participants aged below 18 must fill in this box)

Participant - Parent / Guardian

Full Name in English (Example: CHAN TAI MAN)

(Participants aged below 18 must fill in this box)

Participant - Parent / Guardian

Contact Number

(Participants aged below 18 must fill in this box)

Participant - Parent / Guardian

Email address

(Participants aged below 18 must fill in this box)

The 'Parents or Guardian Authorization Form' of Participant will be sent to the below email on or before 31 October 2021. Please ask Participant's parents or guardian to fill in and submit the completed form upon received.

Relationship to Participant

(Participants aged below 18 must fill in this box)

Choose 1 option

Father / Mother

Other  (please specify)