申请表小马班ApplicationForm(PonyLesson).PDF

香港賽馬會 機密文件 The Hong Kong Jockey Club CONFIDENTIAL 公眾騎術學校 No.___________ Public Riding Schools 申請表 (小馬班) Application Form (Pony Lesson) 姓名(英文) Name (English): _________________________________________ ( 中文) (Chinese): __________________ (姓) (Surname) (名) (First Name) 性別Sex:  女Female  男Male 年齡Age: __________ 居住地區Residential District: _____________________ 身高Height: __________ 厘米cm 體重Weight: __________ 公斤kg 電郵E-mail: ___________________________ 家長/監護人姓名: 聯絡電話 Name of Parent/Guardian: __________________________________ Contact Telephone No.: ______________________ 閣下是否有策騎經驗Do you have riding experience? 沒有No 有(請說明) Yes (please specify): 慢步Walk 快步Trot 跑步Canter 跳欄Jump 其他Other: _______________________ 閣下是否馬會會員Are you the member of HKJC?  否No 是(請說明會員類別) Yes (please specify the type of membership): ________________________________ 閣下, 或閣下代簽之申請人, 是否有任何健康或身體狀況可能需要特別協助騎馬或影響騎馬（例如有過嚴重傷患或 任何影響平衡，神志清醒或癲癇發作的狀況）或曾被建議不宜騎馬? Are you, or the applicant you are signing for, suffering from any medical or physical conditions that may require special assistance in riding or affect your ability to ride (e.g. have suffered serious injury or have any condition which may affect balance or cause blackouts or loss of consciousness or fitting) or have you been advised not to ride?  否No 是(請說明) Yes (please specify): ____________________________________________________________ ____________________________________