Paint with Disability: Foot Painting & Sharing Workshop 以足代手：足畫體驗及分享工作坊

Date & Time 日期和時間: 15/11/2022 (Tue 星期二), 18:30 - 20:30

Venue 地點: PSC303

Language 語言: Cantonese 廣東話

Quota 名額：15 (First-paid, first-served 先到先得，以繳付按金時間為準)

Deposit 按金: $140 (To be refunded upon completion of the workshop 出席後全數退還)

Target 對象: Full-time CUHK undergraduates 全日制中大本科生

Content 活動內容:
1. Experience painting with brushes on your foot 體驗以腳代手用畫筆作畫
2. Make your own foot painting 製作自己獨特的足畫
3. Get inspired from the instructor's sharing of her art journey despite disabilities 從導師的藝術創作分享得到啟發

Full Name in English 英文全名 Full Name in English 英文全名 First Last
Student ID 學生編號
Gender 性別

Gender 性別 Male 男 Female 女
Contact Email 聯絡電郵
Contact Phone Number 聯絡電話
College
Faculty 學系
Undergraduate/ Postgraduate? 本科生/ 研究生?

All applicants must be full-time undergraduates.
所有報名者必須為全日制本科生。
Major of Study / Study Programme 主修 / 課程
Current Year of Study 就讀年級
Do you need any special arrangements?
你需要什麼特別的安排嗎？
I understand that I am required to do a Rapid Antigen Test myself on the activity day before joining.
我明白我須在當日參加前自行進行快速抗原測試。

I understand that I am required to do a Rapid Antigen Test myself on the activity day before joining. 我明白我須在當日參加前自行進行快速抗原測試。 Understand 明白
I understand that I am required to pay the deposit on or before 25 Oct 2022, 5:00p.m at SEN Service at the following address, in order to confirm my enrollment. Otherwise, my application will be considered withdrawn.

SEN Service Address:
3/F, Pommerenke Student Centre, CUHK
(Office hours: Mon-Fri - 08:45-13:00, 14:00-17:30)

我明白我須於2022年10月25日下午5時正前往以下地址繳交按金，以確認報名，否則報名將作廢。

學生事務處心理健康及輔導中心
特殊教育需要服務
龐萬倫學生中心三樓
(辧公時間: 星期一至五 08:45 - 13:00, 14:00-17:30)

I understand that I am required to pay the deposit on or before 25 Oct 2022, 5:00p.m at SEN Service at the following address, in order to confirm my enrollment. Otherwise, my application will be considered withdrawn. SEN Service Address: 3/F, Pommerenke Student Centre, CUHK (Office hours: Mon-Fri - 08:45-13:00, 14:00-17:30) 我明白我須於2022年10月25日下午5時正前往以下地址繳交按金，以確認報名，否則報名將作廢。學生事務處心理健康及輔導中心特殊教育需要服務龐萬倫學生中心三樓 (辧公時間: 星期一至五 08:45 - 13:00, 14:00-17:30) Understand 明白
Disclaimer The personal data collected will be used by SEN Service (SENS) and authorised personnel for processing the captioned purposes in accordance with relevant provisions of the Personal Data (Privacy) Ordinance.