The 35th HKSYU Athletic Meet - Alumni Enrollment Form

1. 每隊只須填寫一張表格
Only one registration is required for each team.

2. 師生接力賽：最少一名教職員 + 最少一名女同學/校友
Student & Staff Relay: at least 1 Staff + at least 1 female student/alumni.

3.活動名額有限，先到先得。
The activity on a first-come-first-served basis.

如有任何疑問請致電李小姐/鄧小姐 2104-8287，或電郵至tmtang@hksyu.edu
Please contact Ms Iwa Lee / Ms Janet Tang (P.E. Section) via tmtang@hksyu.edu or 2104-8287 if you encounter difficulty in completing this form.

根據個人資料（私隱）條例，此表格所收集的個人資料只會用於是次參加申請及有關用途。
In accordance with Personal Data (Privacy) Ordinance, all personal data provided in this form will only apply to this particular application and related purposes.

中文姓名 Name (Chinese): *
學生編號 Student No.: *
性別 Gender: *

性別 Gender: Male Female
電郵 Email: *
聯絡電話 Contact Phone: *
比賽項目 Event: *

比賽項目 Event: 男子組（Men）4 X 400M Relay 男子組（Men）4 X 100M Relay 女子組（Women）4 X 400M Relay 女子組（Women） 4 X 100M Relay 6 X 60師生接力賽 Student & Staff Relay
項目名單 Name List

每隊只須填寫一張表格 Only one registration is required for each team.
隊員1 Athlete 1
姓名(中文) 及學號 Name & Student No.:
e.g. 陳大文 229999 *
類別 Type: *

類別 Type: 男校友/同學 Alumni/Student – Men 女校友/同學 Alumni/Student – Women 教職員 Staff
隊員2 Athlete 2
姓名(中文) 及學號 Name & Student No.:
e.g. 陳大文 229999 *
類別 Type: *

類別 Type: 男校友/同學 Alumni/Student – Men 女校友/同學 Alumni/Student – Women 教職員 Staff
隊員3 Athlete 3
姓名(中文) 及學號 Name & Student No.:
e.g. 陳大文 229999 *
類別 Type: *

類別 Type: 男校友/同學 Alumni/Student – Men 女校友/同學 Alumni/Student – Women 教職員 Staff
隊員4 Athlete 4
姓名(中文) 及學號 Name & Student No.:
e.g. 陳大文 229999 *
類別 Type: *

類別 Type: 男校友/同學 Alumni/Student – Men 女校友/同學 Alumni/Student – Women 教職員 Staff
隊員5 Athlete 5
姓名(中文) 及學號 Name & Student No.:
e.g. 陳大文 229999
類別 Type:

類別 Type: 男校友/同學 Alumni/Student – Men 女校友/同學 Alumni/Student – Women 教職員 Staff
隊員6 Athlete 6
姓名(中文) 及學號 Name & Student No.:
e.g. 陳大文 229999
類別 Type:

類別 Type: 男校友/同學 Alumni/Student – Men 女校友/同學 Alumni/Student – Women 教職員 Staff
本人聲明自己的健康及體能良好，適宜參加有關活動。本人明白及同意如因本人的疏忽、技術不足、健康欠佳或任何原因，而引致參加這項活動時傷亡，香港樹仁大學或其合辦、協辦機構無須負責。
I hereby declare that I am physically fit, healthy and suitable to participate in the preferable physical activities. I fully understand and agree with the Hong Kong Shue Yan University, co-organizing bodies and its supporting bodies will not be responsible or liable for any injury or death resulting from the event, due to my own negligence, inadequacy in skill, health or any other reasons. *

本人聲明自己的健康及體能良好，適宜參加有關活動。本人明白及同意如因本人的疏忽、技術不足、健康欠佳或任何原因，而引致參加這項活動時傷亡，香港樹仁大學或其合辦、協辦機構無須負責。
I hereby declare that I am physically fit, healthy and suitable to participate in the preferable physical activities. I fully understand and agree with the Hong Kong Shue Yan University, co-organizing bodies and its supporting bodies will not be responsible or liable for any injury or death resulting from the event, due to my own negligence, inadequacy in skill, health or any other reasons. Fully understand

The 35th HKSYU Athletic Meet - Alumni Enrollment Form

The 35th HKSYU Athletic Meet - Alumni Enrollment Form

項目名單 Name List