Online Registration Late

Individual Event Registration Form (Late Registration) 個人項目報名表

* Indicates required field

Name ( 名，姓 ) *

First

Last

Handed 握劍手 *

Right handed Left handed

Country 國藉 *

Parent/Guardian Name 監護人 *

Phone Number 電話 *

Date of Birth 出生日期 *

HKID or Passport No. *

Club Name/School Name 劍會或學校名稱 *

Select The Group 組別以出生年份計算 *

Email 電郵 *

Former competition ranking if any (1st to 8th place) 過往比賽成績以作賽前排名參考

1. 2013 HKSSF Primary School Competition Result *

2. 2013 Singapore Minime Fencing Championships Result *

3. 2013 Kowloon City Athletic Association Age Group Competition Result *

4. 2013 LEHK Reunification Cup Age Group Competition Result *

5. 2013 Top Talent Fencing Championships Result *

6. 2013 Singapore Y'sparks International Competition *

6. 2014 HKSSF Primary School Competition Result *

Hong Kong Mini-Me 2014 Competition March 9th *

Any other age group competition not listed above *

I, (Parent’s name if Participant is under 21 years old) hereby agree to indemnify and keep organizers and your officials, duly authorised agents and servants fully indemnified against any loss, damage, claim or demand howsoever caused that you may incur or be liable for in connection with the participation in the above fencing competition. I understand that I am liable for any damages or loss arising from negligence on the part of the participant and I further agree that neither you nor any of your officials, duly authorized agents or servants shall be responsible for:

(i) any loss of or damage to property whatsoever and howsoever caused;

(ii) any personal injury, death or illness howsoever caused;

(iii) any other loss or damage suffered.

I understood the information provide is for registration of this competition only. No information provided will be disclosed for other usage except further communication with the organizer. *

Agree Disagree

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