2024年度計分賽 報名表 Please enable JavaScript in your browser to complete this form.Please enable JavaScript in your browser to complete this form.*本次比賽成績將作為年度參與國際及內地比賽選拔指標之一 *The results of this competition will be used as one of the selection criteria for annual participation in international and mainland competitions. 參加比賽日期 Competition Dates2024/11/03 Sunday – $300.00個人 Part 1A中文姓名 Chinese Name以身分證為準性別 Sex *男性 Male女性 FemaleWhatsApp聯絡電話號碼 Mobile number with WhatsApp *英文姓名 English Name *Same as ID Card身高 Height *電郵 E-mail *個人 Part 1D上載香港身份證 Upload HK ID Card * Click or drag files to this area to upload. You can upload up to 2 files. *請查閱私隱政策 Please refer our privacy policy: https://shootboxing.org.hk/privacy-policy/上載個人正面相片 Upload photo * Click or drag files to this area to upload. You can upload up to 2 files. *只接受 .jpg 或 .png 或 .jpeg, 請降低相片像素後上傳 Please reduce the pixels of the photo before uploading it.出生日期 Date of Birth * 個人 Part 2出生年 Year of Birth *2020201920182017201620152014201320122011201020092008200720062005200420032002200120001999199819971996199519941993199219911990198919881987198619851984198319821981198019791978197719761975197419731972197119701969196819671966196519641963196219611960年 Year出生月 Month of Birth *123456789101112月 Month出生日 Day of Birth *12345678910111213141516171819202122232425262728293031日 Day參賽組別 Category *兒童Cadet A組(2rounds+1extra)兒童Cadet B組(1round+1extra)少年Teen A組(2rounds+1extra)少年Teen B組(1round+1extra)業餘Amateur A組(2rounds+1extra)業餘Amateur B組(1round+1extra)個人 Part 3會館名稱 Gym *如以個人名義參加,請填寫 “個人” If you are participating in an Personal, please fill in “Personal”兒童組 級別 Weight *25kg30kg35kg40kg45kg+45kg少年組 級別 Weight *40kg45kg47.5kg50kg52.5kg55kg57.5kg60kg62.5kg65kg67.5kg70kg+70kg業餘男子組 級別 Weight *55kg57.5kg60kg62.5kg65kg67.5kg70kg72.5kg75kg80kg85kg90kg+90kg業餘女子組 級別 Weight *45kg47.5kg50kg52.5kg55kg57.5kg60kg62.5kg65kg過往所有搏擊比賽經驗 All Fight Experience: 個人 Part 4賽續 Fight Record 戰數 戰 Numbers of Fight和數和 Draw勝數勝 WinTKO/KO數TKO/KO負數負 Lost備註 Remarks參賽者之免責條款及聲明 我聲明並同意遵守 China HK Shoot Boxing Association (下稱 “大會” )訂下的免責條款及規則如下: 我已閱讀了比賽章程並確認完全理解明白賽事之規則。 我完全理解參與運動(包括業餘組及專業組搏擊比賽)將自行承擔所有在練習及比賽過程中有任何感染、受傷或死亡的風險,我自願和知情的情況下接受風險。(大會建議參加者自行購買合適的個人保險,包括個人意外保險、個人責任、醫療費用及緊急救援等重要範疇,以及足夠保障額。) 我謹賠償在配賽後因任何理由缺席該賽事導致之所有責任及/或虧損。 在練習及比賽過程中,參賽者需聽從教練及工作人員的指引,如有任何不適或問題,將即時通知有關教練及工作人員,並聯絡大會。 我同意我的姓名、年齡、體重組、比賽記錄、照片和視頻被發佈在大會的網站上,以及在新聞媒體和社交媒體上。“組織者”有權以任何形式和方式永久性地在香港及海外分發和使用這些材料。所有活動的照片和視頻版權視為“組織者”的財產。一旦提交報名表,意味著參與者同意“組織者”有權編輯、刪除、複製、歸檔、轉讓、發佈或展示這些照片和視頻,全球範圍內用於教育或其他商業和非商業目的。 我完全理解大會有權於任何時間終止參賽者之訓練和出賽資格,以及調整配賽安排,參賽者不得有任何爭議。 Fighter Agreement: WAVIER AND RELEASE to be agreed by the fighter. I declare and agree to abide by the rules and exclusion clauses of China Hong Kong Shoot Boxing Association (hereinafter: “the Organiser”). I have read the competition regulations and confirm that I fully understand the rules of the competition. I fully understand that participating in sport (amateur and professional combat bouts’ inclusive) carries a risk to me of infection, serious injury or death, and I voluntarily and knowingly accept the risk. I fully understand that the organiser recommend participant to purchase relevant personal insurance (including personal accident insurance, personal liability, medical expenses, emergency rescue and other important areas, as well as sufficient coverage). I hereby indemnify “the Organiser” and its employees, officers, officials, medical officers and coaches, from all liability or loss that may result from my no show and or absence from the competition date and my bout. During Training and or competition, all fighters and participants are obliged to follow the staffs’ guidelines and instructions. If you experience any form of sickness, unwell and or problems, you are obliged to notify the coach, staffs immediately. I consent to the publication of my name, age, weight division, competition record, photos, and videos on “the Organiser”’s website, as well as in press and media, and on social media. “The Organiser” retains the right to distribute and use these materials in any form and manner, both permanently in Hong Kong and overseas. The copyrights for all photos and videos from activities are considered the property of “the Organiser.” By submitting the enrolment form, I agree that “the Organiser” has the rights to edit, delete, duplicate, file, transfer, issue, or display these photos and videos globally for educational, commercial, and non-commercial purposes. “The Organiser” reserves the right to terminate the training and competition qualifications of participants at any time, and to adjust the competition arrangements. Participants shall not have any disputes. In case of discrepancy between the English version and the Chinese version in respect of all or any part of the contents in this agreement, the Chinese version shall prevail. 以上資料中英文如有歧義,一律以中文版本為準。 發送前務必剔選以下 *本人同意 I agreed.Total *$0.00Stripe Credit Card *發送 Submit