本人特此郑重声明，我在此宣示书中所提供的信息属实且正确，有效和充分披露相关信息。通过提交本表格，我同意让YAH! 快乐学堂, 活跃乐龄理事会（C3A）及有关机构拥有我的个人资料， 作为行政用途，并且（通过简讯，电子邮件或其他通信管道；无论电子传递或其他方式）接收关于乐龄人士活跃乐龄的节目、调查、促销和其他讯息。我也同意主办单位和C3A在节目、活动中拍照和录像作为宣传用途。
I hereby declare that the information provided herein is accurate and valid. By submitting this form, I consent to my personal data being collected, disclosed to, and used by YAH!, C3A and its relevant partners, for purposes that shall include but not limited to the following: course administration, keeping me informed of relevant information on programmes, research and other publicity relating to active ageing (via sms, email and/or other modes of communication, whether mobile electronic or otherwise), as well as for statistical studies, comparison, research and/or any other related use. Do note that photographs and videos may be taken during the course for publicity purposes.