BB Extra Curricular Program Application Form

Application for Extra-Curricular Program 課外活動課程報名表格

Please complete the form below.
Student Information 學生資料
Child name 兒童姓名*

First NameLast Name
Gender 性別*

M 男F 女
Date of Birth 出生日期*

MonthDayYear
Current age 年齡*
Does you child have any allergies, health or physical issues? If yes, please explain. 您的孩子有沒有任何過敏﹑健康或身體上需要校方加以關注的地方? 如有，請列出:*
Family Information 家庭資料
Parent/ Guardian's name 家長/監護人姓名*

First contactSecond Contact
Email Address 電郵*

First contactSecond Contact
Phone number 聯絡電話*

First contactSecond Contact
Emergency Contact 緊急聯絡人
Name 姓名
Phone number 電話
Program selection 課程選擇*

Toddlers in Transit (Mon and Wed; 3-4:15pm)Toddlers in Transit (Tue and Thurs; 3-4:15pm)Toddlers in Transit (Saturday; 9-10:15am)Toddlers in Transit (Saturday; 10:30-11:45am)Master Chef Cooking Class (Mon or/and Wed; 3-4:30pm)Language & Literacy Buds: Mandarin I (Tue or/and Thurs; 1-2:00pm)Language & Literacy Buds: Mandarin II (Tue or/and Thurs; 3-4:00pm)Phonics and English Reading (Tue or/and Thurs; 3-4:00pm)
Available Start Date 最早上課日期*

MonthDayYear
Date
Parental Consent 家長同意欄: Please“✓” box to indicate that you have read and agree to the statement. If you disagree, please leave the box blank 請剔選以下以表示你明白及同意; 如不同意該欄目，則不用剔選。*

I confirm that the information provided above is true and accurate. 本人確認上述資料正確無誤。I agree that in the event of a medical emergency, my child should be taken to the nearest hospital or my requested hospital. 本人同意如孩子在校內健康出現緊急情況，校方可將他 / 她送往最鄰近的醫院或家長指定的醫院。I consent to the use of my child’s photo for weekly newsletter publication. I understand that it will be of limited circulation to parents whose children are also attending the same class as my child. 本人同意使用本人孩子的照片刊登在每週的校訊內，只限與孩子同班之家長傳閱。I consent to the use of photographs and videos of my child participating in school activities for publication and promotional materials. 本人同意孩子在校內拍攝的照片及影片可作公開刊登及宣傳之用。
How did you hear about us 你是從哪裡得知我們學校呢?*
Signature 簽署*

Clear
Personal Data (Privacy) Policy and Statement 個人資料私隱條例及聲明:

Rest assured that any data collected will remain strictly confidential. Data collected will be used only for the purpose of informing you of any future Blooming Buds programs and events. Please visit www.bloomingbuds.com.hk from time to time to obtain an up-to-date version of our Personal Data (Privacy) Policy & Statement. Please inform us if you would not like to receive any communications from Blooming Buds. 籽苗將把所有收集的資料嚴格保密，所有資料只用作通知家長有關籽苗將來的課程或活動。閣下可隨時瀏覽本校網址www.bloomingbuds.com.hk獲得我們最新版本的私隱條例及聲明。如不希望接收任何籽苗的資訊，請聯絡我們。
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Application for Extra-Curricular Program 課外活動課程報名表格

Student Information 學生資料

Family Information 家庭資料

Emergency Contact 緊急聯絡人

Personal Data (Privacy) Policy and Statement 個人資料私隱條例及聲明: