恩格斯兒童室內田徑錦標賽第三站-健康申報表 (Health Declaration Form)

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恩格斯兒童室內田徑錦標賽第三站-健康申報表 (Health Declaration Form)

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注意事項		基本資料		athlete 健康申報		parent 1 健康申報		parent 2 健康申報		聲明

1. 所有進入場地之人士，包括運動員及家長，須於8月1日至8月7日期間
- 填妥健康申報表
2. 入場前必須向報到處工作人員出示 此健康申報表之確認電郵。

運動員姓名 Name of Athlete *
N/A
號碼布編號 Bib Number *
N/A

可於本會網頁查閱。 (例如 Eg. B2020-001)
運動員出生日期 DOB *
N/A

dd-MMM-yyyy
報到時段及組別 Reporting Time and Group *
N/A

男子及女子 Boys and Girls 2013-2017年組 5:45pm
男子及女子 Boys and Girls 2018-2019年組 2:45pm
性別 Sex *
N/A

男 Boys
女 Girls
電郵地址 Email [家長 Parents] *
N/A
請問有報親子競技賽嗎? *
N/A

有
沒有

如報了親子競技賽的參賽者可填寫第二位陪同入場家長資料
第一位陪同人姓名 Name of 1st Accompany Person *
N/A
關係 Relationship *
N/A

父親 Father
母親 Mother
親戚 Relatives
其他 Others
聯絡電話 Contact No. *
N/A
第二位陪同人姓名 Name of 2nd Accompany Person （如有if any）
N/A

只限參加兩項親子接力之參賽者
關係 Relationship
N/A

父親 Father
母親 Mother
親戚 Relatives
其他 Others
聯絡電話 Contact No.
N/A

運動員 Athletes
過去7日內有沒有到訪過其他國家和城市? Have you visit any countries and cities in the past 7 days? *
N/A

Yes
No
過去7日內你有否與2019冠狀病毒病病人接觸？Have you has contact with people with COVID-19 in the past 7 days? *
N/A

Yes
No

第一位陪同人 First companion
過去7日內有沒有到訪過其他國家和城市? Have you visit any countries and cities in the past 7 days? *
N/A

Yes
No
過去7日內你有否與2019冠狀病毒病病人接觸？Have you has contact with people with COVID-19 in the past 7 days? *
N/A

Yes
No

第二位陪同人 Second companion (如不適用可直接跳過 Go to NEXT if not applicable)

只適合參加兩項親子接力的參賽者 Only suitable for those attending TWO Parents Relay.
過去7日內有沒有到訪過其他國家和城市? Have you visit any countries and cities in the past 7 days?
N/A

Yes
No
過去7日內你有否與2019冠狀病毒病病人接觸？Have you has contact with people with COVID-19 in the past 7 days?
N/A

Yes
No

N/A

我已閱知本申報表所列事項，並保証以上申報內容正確屬實。 I hereby declare that all the information given above is true and correct. * 我已閱知本申報表所列事項，並保証以上申報內容正確屬實。 I hereby declare that all the information given above is true and correct. Required

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