*REQUIRED FIELD
/ /
Please note that your youth might be send home if he/she requires special assistance that was not mentioned on their registration form.
請注意如果參加者需要特殊幫助，但沒有在報名表上提及，我們將保留送參加者回家的權利。
Emergency Conatcts 緊急聯絡人
Please carefully read and accept the following statements before proceeding
請細閱及選擇同意以下細則方可繼續報名程序：
- In consideration of Chinese Christian Mission of Canada (“CCM” and/or “CCM Centre”) accepting the person named hereinafter as a service user/activity participant, I (the parent/guardian) consent to the Child's participation in CCM as a service user/activity participant. I hereby release CCM, its directors, officers, servants, employees and agents, from any claims, damages actions or liability arising out of any loss, injury or damage to the Child and of the Child's property during the Child's participation in any CCM services and activities at any location. I hereby give consent to CCM to release the youth's information to the paramedic/emergency services during an emergency situation.
本人作為參加者之父母／監護人，同意前述者(現年未足十九歲之青年)參加中信中心舉辦的課程、服務或活動。本人並聲明,日後該青年在中信中心參加任何課程、服務或活動時引致之責任索償、糾紛、財產損失、人身受傷、及物件破壞等等，概與中信中心、其職員及代表人無涉。本人亦同意中信中心在緊急情況時向醫療或健康機構提供該青年的健康情況資料。 - I (the parent/guardian) consent that Chinese Christian Mission (CCM) can use the Minor's image and voice in CCM's production of photography, film, video, and audio materials, which will be used for the promotion of CCM and its services. I, understand that these audio/visual materials will be published for selling or presenting in newspapers, films, television commercials, posters, slide presentations or otherwise displayed to the public, as well as for educational, fundraising, information or training purposes – either in whole or in part. I fully understand that I am donating my services and I hereby waive any demands for service fees or payments.
本人作為參加者（下稱為該青年﹐現年未足十九歲) 之家長或監護人，同意中信中心職員、義工、或其代理人在中信中心製作的照片、電影、電子影音使用該青年的肖像及聲音來介紹和推廣中信中心、或中信中心服務及社區服務。本人完全明白和同意這些照片、電影、電子影音等資訊將由中信中心以部份或全套租、借或銷售等辦法在報紙、電影、電視廣告、海報、招貼、幻燈或其它的方式向公共展示﹐或用作教育、籌款、信息、或訓練等用途。本人完全明白和同意這項服務是不收任何費用、報酬或償還的捐贈。 - I (the parent /guardian) understand that there is a cost of $5.00 each time a receipt needs to be reprinted / resent through email. If student withdraws for personal reasons 2 weeks before the camp start date (first day of camp each week), he/she can refund with less 10% as administrative cost which shall not be less than $5.00. If student withdraws 1 week before camp start date (first day of camp each week), he/she can refund with 50% as administrative cost. There is no refund once the camp starts.
本人作為參加之父母／監護人清楚及明白收據若需要重印或以電郵方式再發出，均每次收費$5.00。如開課兩星期前，學生因某些原因申請退學，扣除學費 10%（以不少於五元）手續費後可獲退款。開課一個星期前申請退學，扣除學費手續費 50%後可獲退款。日營開始後不得退款。 - I have read and ensure that all information on the registration form are correct.
本人已閱讀並確保報名表上的所有資料均正確無誤。