報名表格 Registration Form

善寧會 - 四月登山善行 SPHC's Hike for Hospice Month - in April

英文姓氏 English Surname

英文名字 English Given Name

中文姓名Chinese Name (可選擇 Optional)

性別 Gender

男 Male女 Female

電郵 Email

注意：這會用作登入你個人帳戶 NOTE: This will be required to login to your dashboard

聯絡電話 Telephone No.

注意：這會用作登入你個人帳戶 NOTE: This will be required to login to your dashboard

出生日期 (日/月/年) Date of Birth (dd/mm/yyyy)

注意：這會用作登入你個人帳戶 NOTE: This will be required to login to your dashboard

地址 Corresponding Address

注意：請提供地址，方便我們將紀念品T恤郵寄予閣下 NOTE: Please advise of the address you would like us to deliver your souvenir to

紀念品T 恤尺碼 Souvenir T-shirt Size

T恤尺碼 T-shirt Size Chart

(Sorry XS Size is currently out of stock)

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日期 Date

距離 (公里) Distance (KM)

時間 (分鐘) Time (Mins)

上績成績 Upload Result

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上載您在活動期間的照片 Upload photos taken during your hike

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