Entry Form

Class
Team Name*
No. of Participants*
Competitor's Information Team Leader* Member(1) Member(2) Member(3)
*Required field
# The name should be identical to that on your HKID Card/ Passport.
Chinese Name
Name*
(ie. CHAN Tai Man, Surname first)
Team Leader's Address*
T Shirt Size*
Sex*
D.O.B.*
ID / Passport No.(Only enter the letters and the first 4 digits)*
Mobile Phone No.*
# Email Address of Team Leader must be provided for communication (eg. for sending event information and latest news). Other team members are free to
provide email addresss for AYP promotional materials.
Email*
Re-entry email
Experience in Rogaine (years)*
Ranked Best 3 in any class of Rogaine?
Emergency Contact
#Please provide information of Non-participant
Emergency Contact Person*
Relationship with participant*
Emergency Contact Phone No.*
Training Activity
We will not join the Training Activity.
Training activity Date:07-01-2018 Time:1000-1800 Fee:$150/person
(Venue: The Hong Kong Award for Young People Jockey Club Expeditions Centre, Tai Mong Tsai Road, Tsam Chuk Wan, Sai Kung, N.T.)
Member participating
Parental consent
Parental consent is required for participants under age 18.
Please upload the signed parental consent below.
Download Parental Consent Form
Upload Signed Parental Consent Letter
(size lower than 500 KB pdf, jpeg, jpg or png file)
Fundrasing Form
#Receipts will only be issued with donation of HK$100 or over, which is tax deductible.
#Please check the “Receipt” box if receipt is required.Receipt Acknowledgement will be distributed during competition kit distribution.
Sponsor's Name (Same as HK ID Card) Sponsorship Amount(HK$) Receipt
1
2
3
4
5
Total Amount(HK$)
Participation fee Team Leader* Member(1) Member(2) Member(3)
Participation Fee
Minimum Fundrasing Amount
Training activities
Amount (HK$)
Total amount(HK$)
Points to Note and Declaration
Points to Note
  1. Participation fees and funds raised are non-refundable once application is accepted.
  2. The Organizer has the discretion to cancel the event based on inclement weather or unexpected circumstances. All participation fees and funds raised are non-refundable.
  3. Teams with Champion, 1st runner-up and 2nd runner-up in past Rogaine competitions can join CATI but cannot compete for any prizes.
  4. The Organizer reserves the rights to disqualify or exclude any participant from the event who provide incorrect personal information in the registration.
  5. All personal data of participants would only be used in this event and kept in strict confidence.
  6. All matters and disputes will be subjected to the final decision of the Organizer.
    Points to Note and Declaration
    I hereby agree to participate in Rogaine6. I participate in this event under my own free will and I confirm and agree that I shall comply with all arrangement and decision made by the Organizer and sponsors. I agree:
    1. Rogaining is an activity which can involve risk of personal injury and/or property damage. I am joining this event at my own risk. The Organizer will not accept any responsibility for death, injury, loss and damage caused to the competitiors;
    2. In case there is additional expenses or costs incurred by the Organizer arising from or in connection with my participation in the event, I shall indemnify or reimburse the Organizer;
    3. The Organizer has the right to use my personal data including name, photos, videos for organizing and promoting the event.
    Notice for Collection of Personal Data
    "The Hong Kong Award for Young People" (AYP) will use the personal data collected for processing the specified applications or activities as stated in this form. We may also retain archived personal data for statistical, feedback collections, programme promotions, fund raisings and communication purposes. Should you require any enquiries and/or correction of your personal data or not to receive AYP promotional materials, please call 2157 8630 or email to rogaine@ayp.org.hk to contact the Award Office.

    I wish to receive News of the Award

    All competitors agree with all the terms and conditions and agree to make the
    declaration above.