Registration Form of Jockey Club “Sports without Limits” Youth Empowerment Programme: Professional Development Training Webinar Series 2 (YEP006)

Registration Form of Jockey Club “Sports without Limits” Youth Empowerment Programme: Professional Development Training Webinar Series 2 (YEP006)

Date: 19 December 2020 (Saturday)
Time: 10:00 a.m. – 11:30 a.m. HKT
Topic: Individualized Teaching in a Group Adapted Physical Education Class
Format: Zoom meeting (45-min presentation, 45-min Q&A)
Language: English

Speaker:
Professor Martin BLOCK
Program Director of Kinesiology for Individuals with Disabilities (KID)
University of Virginia
USA
(https://curry.virginia.edu/martin-e-block)

Moderator:
Professor Cindy SIT
Department of Sports Science and Physical Education, Faculty of Education
The Chinese University of Hong Kong

Event Details:
1. Importance of treating students as individuals
2. Identifying individual goals
3. Modification to accommodate different ability levels

Enquiries:
Ms. Laura HO 7074 3606; Miss Eva CHAN 3943 0696; Email: info@sportswithoutlimits.hk

Remarks:
1. Registration should preferably be done by 15 December 2020 (Tuesday), 11:59 p.m. HKT.
2. First come, first served basis.
3. Zoom meeting details (including password) will be provided via email to registrants no more than three days upon successful registration.
4. An attendance certificate (endorsed by International Federation of Adapted Physical Activity [IFAPA] and Asian Society for Adapted Physical Education and Exercise [ASAPE]) will be issued upon request and successful completion.

稱謂/Title *

稱謂/Title Mr. Ms. Miss Dr. Prof.
英文姓氏/Surname (English) *
英文名字/Given Names (English) *

注意：閣下的英文全名將會列印於證書上。 Note: Your full English name will be used for printing certificate.
中文全名/Full Name (Chinese)
聯絡電話/Contact No. *
電郵/Email address *

確認電郵/Confirm Email address *
身份/Identity *

身份/Identity 教師/Teacher 物理治療師/Physiotherapist 職業治療師/Occupational Therapist 言語治療師/Speech Therapist 護士/Nurse 教練/Coach 其他/Other (請註明 Please specify）
所屬機構/Organisation (按英文字母排序 In alphabetical order) *

所屬機構/Organisation (按英文字母排序 In alphabetical order) 明愛樂群學校 Caritas Resurrection School 心光恩望學校 Ebenezer New Hope School 基督教中國佈道會聖道學校 Evangelize China Fellowship Holy Word School 香海正覺蓮社佛教普光學校 HHCKLA Buddhist Po Kwong School 匡智獅子會晨崗學校 Hong Chi Lions Morninghill School 匡智翠林晨崗學校 Hong Chi Morninghill School, Tsui Lam 匡智屯門晨崗學校 Hong Chi Morninghill School, Tuen Mun 匡智屯門晨輝學校 Hong Chi Morninghope School, Tuen Mun 匡智元朗晨樂學校 Hong Chi Morningjoy School, Yuen Long 匡智紹邦晨輝學校 Hong Chi Shiu Pong Morninghope School 匡智張玉瓊晨輝學校 Hong Chi Winifred Mary Cheung Morninghope School 香港基督教服務處培愛學校 Hong Kong Christian Service Pui Oi School 香港紅十字會甘迺迪中心 Hong Kong Red Cross John F. Kennedy Centre 香港紅十字會瑪嘉烈戴麟趾學校 Hong Kong Red Cross Margaret Trench School 香港紅十字會雅麗珊郡主學校 Hong Kong Red Cross Princess Alexandra School 路德會啟聾學校 Lutheran School For The Deaf 保良局余李慕芬紀念學校 Po Leung Kuk Yu Lee Mo Fan Memorial School 禮賢會恩慈學校 Rhenish Church Grace School 香港西區扶輪社匡智晨輝學校 Rotary Club of HK Island West Hong Chi Morninghope School 香港耀能協會羅怡基紀念學校 SAHK B M Kotewall Memorial School 香港耀能協會賽馬會田綺玲學校 SAHK Jockey Club Elaine Field School 香港耀能協會高福耀紀念學校 SAHK Ko Fook Iu Memorial School 東華三院群芳啟智學校 TWGHs Kwan Fong Kai Chi School 其他/Other (請註明 Please specify）
是否需要出席證書？Do you wish to obtain an attendance certificate? *

是否需要出席證書？Do you wish to obtain an attendance certificate? 是/Yes 否/No
如欲取得出席證書，請選擇領取方式：
If you wish to obtain an attendance certificate, please indicate how you would like to obtain your attendance certificate: *

如欲取得出席證書，請選擇領取方式：
If you wish to obtain an attendance certificate, please indicate how you would like to obtain your attendance certificate: 透過電郵/By E-mail 透過郵寄/By Registered Mail
請註明郵寄地址 Please fill in your address *

注意：證書在郵遞過程中如有任何延誤、遺失或損毀，本計劃恕不負責。Disclaimer: This program shall not be held responsible for any damage, loss, or delay of the attendance certificate.
聲明：本人清楚知道整個網絡研討會過程會進行攝影或攝錄，並同意照片及影片用於本計劃網站及印刷品，作推廣本計劃之用。本報名表格所提交個人資料，只供處理報名等相關事宜。根據個人資料(私隱)條例，參加者有權查詢及更改其個人資料。申請者如欲更改個人資料，請以書面方式提出申請，傳真號碼：2603-5781。Disclaimer: The Jockey Club “Sports without Limits” Youth Empowerment Programme webinar series allows for audio and video information sent during the session to be recorded. These recordings will primarily be used for website planning, printing, and other promotional uses. By joining the webinar, you understand and consent to being recorded. The data from this registration form will merely be used for processing registration. Per the Personal Data (Privacy) Ordinance, participants hold the right to inquire and change their personal information. Should applicants wish to modify personal information, please provide a written application via fax: 2603-5781. *

聲明：本人清楚知道整個網絡研討會過程會進行攝影或攝錄，並同意照片及影片用於本計劃網站及印刷品，作推廣本計劃之用。本報名表格所提交個人資料，只供處理報名等相關事宜。根據個人資料(私隱)條例，參加者有權查詢及更改其個人資料。申請者如欲更改個人資料，請以書面方式提出申請，傳真號碼：2603-5781。Disclaimer: The Jockey Club “Sports without Limits” Youth Empowerment Programme webinar series allows for audio and video information sent during the session to be recorded. These recordings will primarily be used for website planning, printing, and other promotional uses. By joining the webinar, you understand and consent to being recorded. The data from this registration form will merely be used for processing registration. Per the Personal Data (Privacy) Ordinance, participants hold the right to inquire and change their personal information. Should applicants wish to modify personal information, please provide a written application via fax: 2603-5781. 我同意以上聲明/I agree with the above declaration.
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