MEDICAL ENROLMENT FORM Logo
Language
  • English (UK)
  • Chinese (Traditional Han)
  • ENROLMENT FORM 課程申請表

  •  - -
  •  - -
  • Part A - General Information

  • Thank you for enroling on an Outward Bound Hong Kong (OBHK) course.

    This form is the first step on a journey of discovery. Before completing the form, please make sure:

    1. The right person is completing and signing the form. If the participant is under 18, this form should be completed by a parent or guardian. For anyone over 18 it should be completed by the participant.
    2. The information you provide is accurate and as detailed as possible. We review all of the information to ensure that we are as prepared as possible to serve our participants – and we can only do that if we have the right information at the right time.
    3. If you have any questions, please contact us at info@outwardbound.org.hk or call 2792-4333. We would prefer to take the time to answer your queries before the course starts, have you arrived confident and with everything you need. There is a lot of information available in the links on this form, and our website at www.outwardbound.org.hk. 

    All information provided in this enrolment form will be handled in accordance with our Personal Information Collection Statement.

  • Part B - Participants' Personal Particulars

  •  -
  •  -
  •  -

  • Part C - Medical History

  • Please be fully transparent in providing OBHK with the information requested. Many participants over the years have successfully attended and completed our courses regardless of any medical difficulties they may have had. Having said that, we must be aware of any such conditions for in order to ensure that our programme and our participant make a good fit. The more information we have, the better we can tailor our programme to your needs.

  •  - -
  • Browse Files
    Cancelof

  • Browse Files
    Cancelof
  • Part D: Medication

  • Attention

    • OBHK staff will carry and administer prescription medication brought from home with the prescribed dosage.
    • OBHK does not assume responsibility for any adverse reactions that may occur following administration of medication sent from home. It is the parents/guardians or participants' responsibility to bring the sufficient amount of medication for the duration of the course.
  •  
  • Authorisation of Medication to be administered by OBHK Staff

    All OBHK staff carry the below medication and will administer age-appropriate medication doses according to manufacturer's recommendations. Please indicate if you consent to these being administered.

    Consent for Medication Administration to Participants:

  • Part E - Group Personal Accident Insurance Scheme (OPTIONAL)

  • OBHK carries third party liability insurance. In the event of an accident or illness during the course requiring external treatment, government hospitals or clinics will be utilised, unless in the case of minor illness or accidents whereby private clinics may be used. Participants will be required to pay all private clinical costs. Participants can arrange their own personal insurance or join through the scheme offered by Zurich Insurance Company Limited to participants aged between 7 and 65 years.

    For full details, please see Insurance Details

    Group Personal Accident Insurance Costs:

    Duration Without Accidental Medical Expenses (HKD) With Accidental Medical Expenses (HKD)
    1-7 Days 90 130
    8-14 Days 160 230
    15-21 Days 240 340

     

    Reminder:

    - Please note that no insurance will be effective unless payment is made before course commencement.

    - The premium is non-refundable under any circumstances.

    - Participants who without HKID card requiring treatment at hospitals must pay a deposit prior to receiving treatment. This process requires the use of a credit card which OBHK will not supply.

    Please contact info@outwardbound.org.hk for more information regarding any of the above.

  • Part F - Declaration

  • Declararion

    - I, the undersigned, declare that the information provided is true and complete. I agree that my (and the applicant’s) personal data may be used by OBHK and its staff for administration, programming and emergencies.

    - I (and the applicant) have read and understood the details outlined in this document and agree to abide by the rules for taking part in the OBHK course, in particular, to abstain from alcohol, tobacco and illegal substances, as well as to participate fully and co-operatively with the staff and others. I (and the applicant) understand(s) and accept(s) that if the rules or instructions are not observed, I (and the applicant) may be dismissed from the course.

    - I (and the applicant) understand that the course is vigorous and demanding. To the best of my knowledge, there are no medical or other reasons why I (and the applicant) should not take part in this course. I (and the applicant) am/is in normal health with no undeclared pre-existing medical or psychological  conditions or allergies.

    - I (and the applicant) further agree that should I (and the applicant) require medical treatment, I (and the applicant) consent for myself/himself/herself to receive whatever treatment deemed necessary and determined by a registered doctor. I (and the applicant) agree to pay for any/all treatment required for doctor and/or hospital consultations.

    - I (and the applicant) agree to allow Outward Bound Hong Kong to use any and all images and/or testimonials taken of or provided by me (and the applicant)  during the course for any and all marketing purposes.

    - I (and the applicant) have read and understood this release and indemnity agreement prior to signing it. I (and the applicant) am/is aware that by signing below, I (and the applicant) am/is affecting my legal rights and liabilities and the legal rights and liabilities of my heirs, next of kin, executors, administrators and assigns in relation to OBHK. I (and the applicant) undertake to abide by the safety directions given by the staff of OBHK during the course.

  • Consent

    - Consent is hereby given for the participant to attend an OBHK course and permission is given for any emergency anaesthesia, surgery, hospitalisation, medication and/ or other treatment which may be determined necessary by a medical professional.

    - I have read the description of OBHK courses within this enrolment form and I understand that the programme can involve physically and mentally strenuous activities in a remote wilderness area potentially far from urban facilities.

    - I have taken the opportunity to read important information which is available to me in relation to this enrolment, including: 

    • Voluntary Assumption of Risk Statement
    • OBHK Safety Statement 
    • Personal Information Collection Statement

    - If I have indicated that I require regular medication I shall bring it with me. If I fail to do so I understand that I may not be permitted to continue the course.

    - The information provided above is a complete and accurate statement of the physical and psychological factors which may affect my participation on an OBHK course, I realise that failure to disclose such information could result in serious harm to me and my fellow participants and I agree to indemnify and waive OBHK of all liability if all relevant information is not disclosed.

  • Signature

    Electronic Transactions Ordinance (Cap. 533) gives electronic records and digital signatures the same legal status as their paper-based counterparts. By signing the box below, I affirm that the information provided above is a complete and accurate statement of the physical and psychological factors which may affect my participation on an OBHK course. I realise that failure to disclose such information could result in serious harm to me and my fellow participants and I agree to indemnify and waive OBHK of all liability if all relevant information is not disclosed.

  •  - -
  • Part G - Course Fee Payment

  • General Refund Policy: 

    • If for personal/ family circumstances you need to cancel and refund your program, after the deduction of the HKD1,000 administration charge, you can obtain a conditional refund according to the following conditions:
      • The remaining balance will be refunded providing written notice is received at least 30 working days prior to program commencement.  
      • 50% of the balance will be refunded for written notice received 20 working days prior to program commencement.  
      • No refund will be made if written notice of cancellation is received less than 20 working days before program commencement. 
    • OBHK reserves the right to cancel a program for various reasons. OBHK may also refuse participation in the program at its sole discretion, determines to be incapable of meeting the rigors or requirements for participating in the program: 
      • A full refund or an alternative program will be offered. There is no administration charge incurred. 

    一般退款安排

    • 因個人/家庭理由而取消課程並申請退款,本校將會收取港幣1,000元手續費後,因應以下情況作出退款安排: 
      • 開課前30個工作天或之前以電郵通知本校,本校將會退回餘下之課程費用 
      • 開課前20-29個工作天以電郵通知本校,本校將會退回餘下之一半課程費用 
      • 少於開課前20個工作天以電郵通知本校,本校將不會退回任何課程費用 
    • 本校將保留任何取消課程的權利。本校亦有權因參加者未能達到課程要求而拒絕參加者參與課程: 
      • 本校將不會扣除手續費並退回全額課程費用或安排參與其他課程。 

    Cancellation due to medical reason:

    • If participants inform OBHK by email/WhatsApp before 07:00am on the first day of program and submit a signed doctor’s sick note stating the reason they are unable to participate in the whole program: 
      • No refund will be made but the program fee paid will be offered as credit to be used on any OBHK program within the next 12 months. There is no administration charge incurred. 

    因病缺席課程

    • 若參加者於課程當天早上7時正前以電郵或WhatsApp通知本校因病缺席課程,並提供醫生紙副本列出未能出席整個課程的原因: 
      • 課程費用將不會被退回,但課程費用可於一年內用於參加任何由本校舉辦之課程,本校將不會扣除手續費。 

    Cancellations due to adverse weather

    • In the event of loss of program day due to the T8 or above, Red or Black Rainstorm warning issued by Hong Kong Observatory: 
      • There is no refund for the lost program day(s). 
    • Once the above warnings are lowered and OBHK considers conditions still to be unsafe to conduct program. OBHK will cancel delivery of program. 
      • The program fee paid, or pro-rata (outstanding full day) will be offered as credit to be used on any OBHK program within the next 12 months. There is no administration charge incurred. 

    因惡劣天氣取消課程 

    • 如因香港天文台發出八號風球或以上,紅色或黑色暴雨警告而取消的課程日: 
      • 本校將不會退回任何被取消之課程日的費用。 
    • 如香港天文台取消以上訊號或警告,而本校由於安全理由而決定取消課程: 
      • 課程費用將不會被退回,但餘下之課程費用(將按比例以未完成的全日日數計算)可於一年內用於參加任何由本校舉辦之課程,本校將不會扣除手續費。 

    Course Change or Transferals:

    • OBHK will accept transfers to new course dates on the condition that notice of at least 20 working days is provided; 
      • OBHK will accept one program change or referral. There is no administration charge incurred. 
      • For further changes or referrals, OBHK will retain HKD500 administration charge per each transfer. 
      • Transfers can only be made to courses within 12 months of the original course dates. 
      • New course dates are subject to availability and cannot be guaranteed. 
    • No change or transfer request will be accepted less than 20 days prior to the program commencement. 

    更改或轉讓課程  

    • 本校接受在課程20個工作天或之前以電郵向本校提出更改或轉讓課程; 
      • 本校接受一次更改或轉讓課程之申請,本校將不會扣除手續費。 
      • 之後每次更改或轉讓,本校會收取港幣500元手續費。 
      • 更改課程之開課日期必須在一年內。 
      • 能否更改或轉讓將視乎更改課程之空缺而定。 
    • 本校不接受少於開課前20個工作天以內提出之更改或轉讓課程之申請。 
  • This is not a valid Promo Code, please re-enter!

  • Course Fee: HK$5,250 per person with a valid promo code

  • Course Fee: HK$5,750 per person

  • Course Fee: MAY Flash Sale HK$5,500 per person end by 31 May 2025

  • Browse Files
    Cancelof
  • prevnext( X )
    HKD
    Credit Card Details
  • Should be Empty: