七人小型足球比赛–参赛者资料.docVIP

七人小型足球比賽 – 資料 Mini-soccer Competition – Particulars of Participants 機構名稱 中文 號Official No. Name of Organisation English 機構地址 中文 Address of Organisation English 參賽組別: # 甲／乙／丙 組 男子隊／女子隊 球衣顏色 1 2 Group to be entered # Group A / B / C Men’s Team / Women’s Team Colour of Jersey ＃請將不適用者刪去 Please delete as appropriate 領隊／教練姓名 中文 Name of Team Leader / Coach English 電話 日 夜 傳真號碼 Telephone No. Day Night Fax No. *電郵地址 傳呼機／手提電話號碼 *E-mail Address Pager / Mobile Phone No. *本署日後將通過電子郵件傳送有關的資料給貴機構團體。*Information concerning the competition will be sent to you by e-mail. 編號 No. 姓名 Name of Participant性別 Sex 年齡組別 Age Group 請用英文字母表示 Please indicate with a letter code Identity Document No. A 15-19 B 20-24 C 25-29 D 30-34 E 35-39 F 40-44 G 45-49 H 50-54 I 55-59 J 60或以上 or above 中文Chinese 英文English 1隊長 Captain 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 請香港身證號碼的 例如: A1234 / XD1234 或護照號碼的首個數字 例如: 123456 . Please provide the English letter s and the first four digits of the Hong Kong Identity Card Numbers e.g. A1234 / XD1234 or the first digits of the passport numbers e.g. 123456 . 備註 Remarks : 每間機構最多可報一隊男子隊和一隊女子隊，每隊可填報球員20名。 A maximum of one men’s team and one women’s team from each organization may enrol in the competition. Each team may submit a list of 20 players. 所有隊員或其家長／監護人必須在2014年月日或以前填妥「年滿十八歲的隊員聲明」或「未滿十八歲的隊員聲明」，並寄回、交回或傳真（傳真號碼：2634 0786）至新界沙田排頭街1至3號康樂及文化事務署總部2樓康樂及文化事務署大型活動組。如任何隊員未能於賽事開始前簽署及遞交有關聲明，大會有權取消其參賽資格。 All participants or their parents/guardians must sign the “Declaration by Participants aged 18 or above” or “Declaration by Participants aged below 18” and return it by mail, in person or by fax Fax: 2634 0786 to Major Events Section, 2/F, Leisure?and Cultural Services Headquarters, 1-3 Pai Tau Street, Sha Tin, New Territories on or before 13 February 2014. If any participant fails to submit this form before the commencement of the competition, the Organiser reserves the right to disqualify him/her from pa