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郊野跑步同樂日
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報名表
距離 Distance
*
10 公里 10 KM
5 公里 5 KM
5 公里親子組 5 KM Family
姓名 Full Name
*
Your answer
自然名 Nature Name
Your answer
年齡 Age
*
16 歲或以上 (10 公里) 16 or above (10 KM)
10 歲或以上 (5 公里) 10 or above (5 KM)
Required
聯絡電話 Contact Phone Number
*
Your answer
電郵地址 Email Address
*
Your answer
緊急聯絡人 Emergency Contact Person Name
*
Your answer
緊急聯絡人手提電話 Emergency Contact Person Mobile Phone Number
*
Your answer
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