賽馬會樂在耆足計劃

Enrollment form

Please complete the following information and select the appropriate options

Scroll down to complete all fields

Name

Gender

Date of birth

Contact phone

Please provide a phone number that can receive SMS / WhatsApp

Football experience

Emergency contact name

Relationship

Emergency contact phone

Do you currently have any long-term illness or take regular medication? (e.g. heart disease, high blood pressure, asthma, diabetes or epilepsy)

Fee：$500

Upload payment proof (transfer receipt or screenshot)

Tap to upload proof

Submit after transferring and uploading the proof. Your place is held immediately upon submission; staff will confirm once payment is verified.

The health information provided above is true and accurate. The organiser “賽馬會樂在耆足計劃” accepts no liability for accidents caused by an undisclosed medical condition or failure to follow the coach’s instructions.
I understand the nature and physical requirements of this activity and confirm that I am fit to participate.
I accept responsibility for any accident caused by withholding accurate health information.
Participants must follow the coach’s instructions. Participants are responsible for injury or loss caused by acting on their own.
Participants are responsible for their personal belongings during the activity. The organiser is not responsible for damage or loss.
I agree that the organiser may take photographs and videos during the activity and use them for future publicity.
Participants must arrive on time. If you cannot arrive by the assembly time without prior notice, your place may be offered to a waiting-list participant.
賽馬會樂在耆足計劃 reserves the final decision in the event of any dispute.

I (the applicant) declare that the above information is correct and agree to all the terms above.