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教育
Schools programmes
IB、A Level 和 GCSE
实地考察
河流研究
环境科学
中国海岸带研究
Collaborative Science Projects
仆人式领导
大学课程
Week without walls
微校园
安全
全球问题
学校课程
个人发展
青年发展
语言
环境
石鼓彩虹谷
生存手环
地球飞船
阳朔
黎明
公司的
企业务虚会
团队建设
主题活动
管理发展
谁会吃苹果?
中国专家
媒体服务
关于我们
地点
联系我们
Zen Quest Travel
中文
English
关于我们
地点
联系我们
Zen Quest Travel
中文
English
教育
Schools programmes
IB、A Level 和 GCSE
实地考察
河流研究
环境科学
中国海岸带研究
Collaborative Science Projects
仆人式领导
大学课程
Week without walls
微校园
安全
全球问题
学校课程
个人发展
青年发展
语言
环境
石鼓彩虹谷
生存手环
地球飞船
阳朔
黎明
公司的
企业务虚会
团队建设
主题活动
管理发展
谁会吃苹果?
中国专家
媒体服务
Participant information 参加者信息
名字 First name
姓氏 Last name
昵称 Nick name
A name used between friends or that he/she prefers to be known by. 你最爱使用的别名或朋友常用来称呼你的绰号
标识类型 Identification type
- 选择 -
身份证 ID Card
香港身份证 HK ID Card
护照 Passport
身份证件号码 Identification document number
性别 Gender
- 选择 -
女 Female
男 Male
年龄 Age
年龄 Age
- 选择 -
5 -
5
6
7
8
9
10
11
12
13
14
15
16
17
18
18 +
老师 Teacher
Age
出生日期 Date of birth
电子邮件 Participant's email
参加者最常用的电邮地址 Most frequently used email address of the participant.
移动手机号码 Participant’s mobile number
参加者的手机号码 The participant’s mobile phone number
身高 Hight
- 无 -
60
61
62
63
64
65
66
67
68
69
70
71
72
73
74
75
76
77
78
79
80
81
82
83
84
85
86
87
88
89
90
91
92
93
94
95
96
97
98
99
100
101
102
103
104
105
106
107
108
109
110
112
111
113
114
115
116
117
118
119
120
121
122
123
124
125
126
127
128
129
130
131
132
133
134
135
136
137
138
139
140
141
142
143
144
145
146
147
148
149
150
151
152
153
154
155
156
157
158
159
161
162
163
164
165
166
167
168
169
170
171
172
173
174
175
176
177
178
179
180
181
182
183
184
185
186
187
188
189
190
191
192
193
194
195
196
197
198
199
200
厘米 cm
体重 Weight
- 无 -
20
21
22
23
24
25
26
27
28
29
30
31
32
33
34
35
36
37
38
39
40
41
42
43
44
45
46
47
48
49
50
51
52
53
54
55
56
57
58
59
60
61
62
63
64
65
66
68
69
70
71
72
73
74
75
76
77
78
79
80
81
82
83
84
85
86
87
88
89
90
91
92
93
94
95
96
97
98
99
100
101
102
103
104
105
106
107
108
109
110
111
112
113
114
115
116
117
118
119
120
121
122
123
124
125
126
127
128
129
130
131
132
133
134
135
136
137
138
139
140
141
142
143
144
145
146
147
148
149
150
150 +
公斤 kg
鞋码(欧洲) Shoe size (European)
- 无 -
30
31
32
33
34
35
36
37
38
39
40
41
42
43
44
45
46
47
48
攀岩鞋 Rock climbing shoes.
以下哪一项最能形容您的游泳能力 Which of the below best describes the participants swimming abilities?
- 选择 -
他不会游泳 Unable (can not swim at all)
他可以持续游泳20米 Able (can swim one width of a swimming pool)
他可以持续游泳100米 Fair (can swim over 2 lengths of a swimming pool)
他可以持续游泳500米 Good (can swim over 10 lengths of a swimming pool)
他是游泳健将 Excellent (Is part of a swimming club and or can perform most common swimming styles) 他是游泳健将
饮食要求 Dietary requirements
你有否任何特别的饮食要求 (比如:素食者,伊斯兰教徒)List any non medical dietary requirements that the participant has (for example vegetarian).
您是否有食物过敏?Does the participant have any food allergies?
有 Yes
无 No
如果回答有,请注明 If yes please specify
您是否有药物过敏?Does the participant have any allergic reaction(s) to any form of medication?
有 Yes
无 No
如果回答有,请注明 If yes please specify
您是否有蜜蜂或蚊虫叮咬过敏? Does the participant have any allergic reaction(s) to insect bites?
有 Yes
无 No
如果回答有,请注明 If yes please specify
您是否定期服用来自医生处方的药物?Is the participant currently taking any medication(s) prescribed by a doctor?
有 Yes
无 No
如果回答有,请注明 If yes please specify
您是否定期服用从药店购买的药物?Is the prescription taking any medication(s) obtained without prescription?
有 Yes
无 No
如果回答有,请注明 If yes please specify
是否有由于健康状况而不适宜参加的活动?Are there any activities that the participant should not take part in because of a known medical condition?
有 Yes
无 No
如果回答有,请注明 If yes please specify
请详细描述近两年内所经历过的任何手术或重大疾病 Please give details of any significant illness and or serious operation had by the participant within the last 2 years.
血型(如果知道)Blood type (if known)
最后一次打破伤风预防针的日期 Last tetanus injection date
其他相关信息 Other relevant information that you think we should know
家长或监护人信息 Parent or guardian information
房子 House
街 Street
市 City/Town
省 State/Province
邮编 ZIP/Postal Code
国家 Country
- 无 -
Afghanistan
Albania
Algeria
American Samoa
Andorra
Angola
Anguilla
Antarctica
Antigua & Barbuda
Argentina
Armenia
Aruba
Ascension Island
Australia
Austria
Azerbaijan
Bahamas
Bahrain
Bangladesh
Barbados
Belarus
Belgium
Belize
Benin
Bermuda
Bhutan
Bolivia
Bosnia & Herzegovina
Botswana
Bouvet Island
Brazil
British Indian Ocean Territory
British Virgin Islands
Brunei
Bulgaria
Burkina Faso
Burundi
Cambodia
Cameroon
Canada
Canary Islands
Cape Verde
Caribbean Netherlands
Cayman Islands
Central African Republic
Ceuta & Melilla
Chad
Chile
China
Christmas Island
Clipperton Island
Cocos (Keeling) Islands
Colombia
Comoros
Congo - Brazzaville
Congo - Kinshasa
Cook Islands
Costa Rica
Croatia
Cuba
Curaçao
Cyprus
Czechia
Côte d’Ivoire
Denmark
Diego Garcia
Djibouti
Dominica
Dominican Republic
Ecuador
Egypt
El Salvador
Equatorial Guinea
Eritrea
Estonia
Eswatini
Ethiopia
Falkland Islands
Faroe Islands
Fiji
Finland
France
French Guiana
French Polynesia
French Southern Territories
Gabon
Gambia
Georgia
Germany
Ghana
Gibraltar
Greece
Greenland
Grenada
Guadeloupe
Guam
Guatemala
Guernsey
Guinea
Guinea-Bissau
Guyana
Haiti
Heard & McDonald Islands
Honduras
Hong Kong SAR China
Hungary
Iceland
India
Indonesia
Iran
Iraq
Ireland
Isle of Man
Israel
Italy
Jamaica
Japan
Jersey
Jordan
Kazakhstan
Kenya
Kiribati
Kosovo
Kuwait
Kyrgyzstan
Laos
Latvia
Lebanon
Lesotho
Liberia
Libya
Liechtenstein
Lithuania
Luxembourg
Macao SAR China
Madagascar
Malawi
Malaysia
Maldives
Mali
Malta
Marshall Islands
Martinique
Mauritania
Mauritius
Mayotte
Mexico
Micronesia
Moldova
Monaco
Mongolia
Montenegro
Montserrat
Morocco
Mozambique
Myanmar (Burma)
Namibia
Nauru
Nepal
Netherlands
Netherlands Antilles
New Caledonia
New Zealand
Nicaragua
Niger
Nigeria
Niue
Norfolk Island
Northern Mariana Islands
North Korea
North Macedonia
Norway
Oman
Outlying Oceania
Pakistan
Palau
Palestinian Territories
Panama
Papua New Guinea
Paraguay
Peru
Philippines
Pitcairn Islands
Poland
Portugal
Puerto Rico
Qatar
Romania
Russia
Rwanda
Réunion
Samoa
San Marino
Sark
Saudi Arabia
Senegal
Serbia
Seychelles
Sierra Leone
Singapore
Sint Maarten
Slovakia
Slovenia
Solomon Islands
Somalia
South Africa
South Georgia & South Sandwich Islands
South Korea
South Sudan
Spain
Sri Lanka
St. Barthélemy
St. Helena
St. Kitts & Nevis
St. Lucia
St. Martin
St. Pierre & Miquelon
St. Vincent & Grenadines
Sudan
Suriname
Svalbard & Jan Mayen
Sweden
Switzerland
Syria
São Tomé & Príncipe
Taiwan
Tajikistan
Tanzania
Thailand
Timor-Leste
Togo
Tokelau
Tonga
Trinidad & Tobago
Tristan da Cunha
Tunisia
Turkmenistan
Turks & Caicos Islands
Tuvalu
Türkiye
U.S. Outlying Islands
U.S. Virgin Islands
Uganda
Ukraine
United Arab Emirates
United Kingdom
United States
Uruguay
Uzbekistan
Vanuatu
Vatican City
Venezuela
Vietnam
Wallis & Futuna
Western Sahara
Yemen
Zambia
Zimbabwe
Åland Islands
家长或监护人的联系方式 The contact information of the parrent or gaurdion
名字 First name
姓氏 Last name
您和参加者的关系 Your relationship to the participant
例如,您是孩子的母亲还是父亲 Are you the childes mother or father, for example.
联系电话 Contact phone number
联系语言 Contact language
English 英语
Chinese 中文
Cantonese 广东话
其他 (请在下列空格内表明) Other (use the field below)
付款帐号 Payment account number
将您的付款与参加学生的姓名相匹配,支付宝,银行账户 Tell us the account number (Alipay or Bank Account) that you are using to pay for this programme. Then we can match your payment with the attending student.
紧急联系 Emergency contact
名字 Name
电子邮件 email
微信号 Wechat ID
联系电话 Contact phone number
您和参加者的关系 Your relationship to the participant
例如,您是孩子的母亲还是父亲 Are you the childes mother or father, for example.
联系语言 Contact language
English 英语
Chinese 中文
Cantonese 广东话
其他 (请在下列空格内表明) Other (use the field below)
我同意参与者加入这个计划 I consent for the participant to join this programme
同意 Agree
不同意 Diss agree
Statement of Consent 同意声明
如若在一个紧急事件或非紧急情况下需要医疗措施时,在此我同意,在我能够被联系到之前,如果我的孩子遭遇身体受伤或疾病,我允许他/她接受所有的医疗措施,其中包括但不局限于以下内容:第一时间的急救处理(由当时监管的老师或得到此监管者认可的其他人),使用救护车,X光片拍摄和其他医疗诊断,在有资质的医护人员的监督下注射麻醉剂或进行外科措施处理。
In the event of an emergency or a non-emergency situation requiring medical treatment, I hereby grant permission for any and all medical attention to be administered to my child, in the event of an injury or illness, until such a time that I can be contacted. This permission includes, but is not limited to, the administration of first aid (either by the supervising teacher or another person with their permission), the use of an ambulance, x-rays and other diagnostic tests, the administration of anaesthesia and/or surgery, under the supervision of qualified medical personnel.
- 选择 -
我同意 I agree
我不同意 I disagree
签名 Signature
请在上方签名👆
Sign above
👆
Leave this field blank