Online Enrollment | LGT Private Banking proudly sponsors: TWGHs Charity Challenge Race

* Mandatory field

Race Type *

Individual (Enrollment Fee：$250/player)

Family and Friends Team (Enrollment Fee：$800/team)

Team members *

3 players

4 players

Particulars of Player(s)

Player 1 (Captain)

Name (Chinese)

Family Name (English) *

Given Name (English) *

HKID/Passport No. (First 4 digits) *

Gender *

Year of Birth *

Year

Month

Day

Address *

Mobile No. *

Email Address *

Emergency Contact Person *

Emergency Contact No. *

Event T-Shirt Size *

Size*	XS	S	M	L	XL
Width (cm)	44.5	47	50	53	57
Length (cm)	64	66	68	70	73

Race Category *

Donation Receipt *

(Donation of $100 or more to TWGHs is tax deductible)

Please provide donation receipt.

To save the administrative cost of TWGHs, donation receipt is not required.

Name on Receipt (if different from the player name)

Title

Address for receipt (if different from the player address)

Player 2

Name (Chinese)

Family Name (English) *

Given Name (English) *

HKID/Passport No. (First 4 digits) *

Gender *

Year of Birth *

Year

Month

Day

Address *

Mobile No. *

Email Address *

Emergency Contact Person *

Emergency Contact No. *

Event T-Shirt Size *

Size*	XS	S	M	L	XL
Width (cm)	44.5	47	50	53	57
Length (cm)	64	66	68	70	73

Donation Receipt *

(Donation of $100 or more to TWGHs is tax deductible)

Please provide donation receipt.

To save the administrative cost of TWGHs, donation receipt is not required.

Name on Receipt (if different from the player name)

Title

Address for receipt (if different from the player address)

Player 3

Name (Chinese)

Family Name (English) *

Given Name (English) *

HKID/Passport No. (First 4 digits) *

Gender *

Year of Birth *

Year

Month

Day

Address *

Mobile No. *

Email Address *

Emergency Contact Person *

Emergency Contact No. *

Event T-Shirt Size *

Size*	XS	S	M	L	XL
Width (cm)	44.5	47	50	53	57
Length (cm)	64	66	68	70	73

Donation Receipt *

(Donation of $100 or more to TWGHs is tax deductible)

Please provide donation receipt.

To save the administrative cost of TWGHs, donation receipt is not required.

Name on Receipt (if different from the player name)

Title

Address for receipt (if different from the player address)

Player 4

Name (Chinese)

Family Name (English) *

Given Name (English) *

HKID/Passport No. (First 4 digits) *

Gender *

Year of Birth *

Year

Month

Day

Address *

Mobile No. *

Email Address *

Emergency Contact Person *

Emergency Contact No. *

Event T-Shirt Size *

Size*	XS	S	M	L	XL
Width (cm)	44.5	47	50	53	57
Length (cm)	64	66	68	70	73

Donation Receipt *

(Donation of $100 or more to TWGHs is tax deductible)

Please provide donation receipt.

To save the administrative cost of TWGHs, donation receipt is not required.

Name on Receipt (if different from the player name)

Title

Address for receipt (if different from the player address)

Players’ Disclaimer/Indemnity *

我/我們，本聲明的簽署人，希望參加「LGT皇家銀行誠意呈獻：東華三院慈善障礙挑戰賽」，我/我們僅此一同及個別確認我/我們的健康及體能良好，適宜參加上述活動，並同意及遵守所有主辦機構的安排及決定。我/我們明白及同意：

I/We, the undersigned, jointly and severally confirm and agree that I am/we are physically fit and healthy, wish and suitable to participate in “LGT Private Banking proudly sponsors: TWGHs Charity Challenge Race” (the “Event”). I/We agree that I/we shall comply with all arrangements and decisions made by the Organizer. I/We fully understand and agree:

我/我們會遵守所有由主辦機構提出之活動規例及當日之臨時安排及決定。
I am/We are willing to follow and agree with any terms and conditions set by the Organizer.
我/我們具備所需技術及體能，自願參加是次活動。
I/We have the required physical skills and fitness necessary for my/our participation in the Event and join this Event voluntarily.
參賽全是我/我們的個人風險。倘我/我們活動期間發生意外，包括受傷、死亡及財物損失等，皆願意自行承擔所有責任；主辦機構、各協辦及贊助機構均無須作出賠償或承擔任何法律責任。
I/We acknowledge that taking part in this Event is entirely at my/our own risks and I/we will not hold the Organizer, co-organizing and supporting organizations, and sponsors, responsible and liable for any accident of whatever kind, resulting in injury or death, or for any damage to or loss or destruction of personal properties during the Event.
若我/我們在活動期間發生事故而導致主辦機構須支付額外開支，我/我們願意對主辦機構作出合理賠償。
I/We agree to indemnify or reimburse the Organizer in respect of any additional expenses or costs incurred arising from or in connection with my/our participation in the Event.
我/我們授權予主辦機構及其中介公司在比賽期間為我/我們拍照並使用任何照片、影片或任何賽事紀錄作任何合法的用途，包括活動籌辦、傳媒及推廣之用，而無須向我/我們付款或賠償。
I/We grant permission to the Organizer and its agents to photograph me/us during the Event and use any photograph, video or any record of the Event for any lawful purpose, including for organizing events, advertising and promotion, without making any payment or compensation to me/us.
主辦機構對參賽者的私穩保障的承諾：主辦機構不會出售或與任何公司/機構交換參賽者的個人資料。參賽者所提供的資料絕對保密，只會被主辦機構及其委託的服務提供者用作參與是次活動、收據發送及與此活動有關的通訊用途。
The promise of Organizer to protect privacy of player: The Organizer promises not to sell or swap the personal information of player with any other company/organization. The information provided will be treated as strictly confidential, used only by the Organizer and selected service providers for the purposes of participation of this Event, receipt issuing and communications about the Event.
我/我們確認所提供的資料正確無誤。
I/We declare that all information given in this application form are, to the best of my/our knowledge, accurate and complete.
如因天氣或其他非人力控制的因素影響，主辦機構有權更改或取消是次活動。
In case of encountering adverse weather conditions or other uncontrollable factors, the Organizer has the right to make changes or cancel this Event.

本聲明以中文及英文編寫，如有任何闡釋上的歧異，概以英文版本為準。
This declaration is written in both English and Chinese. If there is any conflict in meaning, the English version shall prevail.

I/We have read and understood the “Players’ Disclaimer/ Indemnity” of this Event, and agree to abide by all the rules and arrangements lay down by the Organizer.

Agree *

(Parent/Guardian’s Agreement for Player aged below 18)

Name of Parent/Guardian *

Relationship with Player *

Personal Information Collection Statement *

東華三院（「本院」）會按照《個人資料（私隱）條例》的規定處理及儲存您的個人資料，絕不會向第三方出售及/或提供您的個人資料。本院擬使用您的個人資料（姓名、地址、電話、電郵及傳真）以作日後聯絡、籌款、宣傳活動/訓練課程或收集意見等推廣用途。未經您的同意，本院不會將您的個人資料用於上述用途。如您不同意，請在以下空格內加上「✓」號。您有權隨時向本院查詢、更改或要求停止使用您的個人資料作上述推廣用途，費用全免，請於辦公時間致電1878 333。

The Tung Wah Group of Hospitals (“TWGHs”) shall comply with the Personal Data (Privacy) Ordinance in handling and keeping your personal data. TWGHs will not sell and/or provide your personal data to any third party. TWGHs intends to use your personal data (name, address, telephone no., email and fax no.) for future correspondences, fund-raising appeals, promotional activities, training courses, conducting survey, or other related promotional purposes. TWGHs will not use your personal data for the above purposes unless you give your consent. If you do not agree to the use of your personal data for the above purposes, please indicate by putting a tick in the box below. You have the right to access, correct and request TWGHs to stop using your personal data for the above purposes at any time and at no charge by calling 1878 333 during office hours.

I have read, understood and accepted the statement regarding the collection, use and provision of personal data by TWGHs.

Accept PICS *

I object to the use of my personal data by TWGHs for the above promotional purposes.

Object Promotion