賽馬會「童夢耆緣」劇場計劃 報名表格�
此申請表只適用學校，NGO及相關機構使用
This Application form is ONLY applicable to SCHOOLS and NGOs.

本計劃只接受網上填表申請。We only accept online application.

請務必填寫所有資料(共3頁)，以便聯絡及確保活動的質素及安排。
To facilitate future contact and to ensure the quality and arrangement of our activities, please kindly fill in all requested information (3 pages in total)

請留意，劇場活動只限廣東話進行。
Please note that the program will be conducted in Cantonese.
Sign in to Google to save your progress. Learn more
一、基本聯絡資料 Basic Contact Information
請準確填寫，所提供的資料將顯示於確認活動收條上。
Please fill in all requested information correctly. Information provided will be shown on the official confirmation slip.
機構名稱 Name of Organisation/School *
郵寄地址 Address *
申請人姓名 Name of Applicant *
職位 Job Position *
機構電話 Phone no. of Organisation *
手提電話 Mobile phone no.
電郵 Email address *
二、機構/參加者背景 Background of Organisation/Participants
請盡量提供詳情，以便為您度身訂造活動
Please provide information as detailed as possible so that we can design the most suitable program for you.
參加者年紀 Age of Participants *
可多選 More than one option can be chosen
Required
如何挑選是次活動的參加者？ How to select this program's participants? *
例：義工小組、公開招募… e.g. volunteer group, free application, etc.
參加者有多自願參與?　Do most of the participants join this program of their own free will? *
參加者之間是否已互相認識？Do most of participants know each other? *
如參加者有以下情況，請標明以作適當安排： To arrange special consideration, please inform us if participants have the following special conditions.
火參加活動目的是： Purpose of joining our program: *
Required
完成活動後，會否自行為參加者安排跟進活動？Will you arrange any follow up events for participants after joining this program?
您從何得知Empathy for the Elderly 之互動劇場活動？ How do you know our program? *
Next
Clear form
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Privacy Policy
Google Forms