ctpspt-21036 Registration: Supporting 2E Talk SeriesPersonal Information 個人資料Title 稱謂 *Mr. 先生Ms. 女士Mrs. 太太Dr. 博士Prof. 教授Name (in English) 英文姓名 *Surname 姓氏 *Given Name 名字Name in Chinese (if applicable) 中文姓名 Mobile 手機號碼 *Email Address 電郵 *Confirm your email address again 請再次輸入電郵 *Name on Certificate 證書上的名字 *Please specify the name in English to be printed on the "Certificate of Course Completion" 請提供列印於'修畢課程證書'上的名字Gender 性別 *Male 男Female 女I am 本人是 *can select more than one option 可選多項an educator 教育工作者a parent 家長Programme Timeslot 課程時間 I would like to join the talk on 我希望參加以下講座: (Please check the theme, dates and time carefully 請留意課程主題, 日期及時間)ASD (K – P2): Aug 14, 10:00 – 12:00ASD (P3 – P5 / 6): Aug 14, 13:00 – 15:00ASD (P6 to secondary): Aug 14, 15:30 – 17:30ADHD (K – P2): Aug 21, 10:00 – 12:00ADHD (P3 – P5 / 6): Aug 21, 13:00 – 15:00ADHD (P6 to secondary): Aug 21, 15:30 – 17:30Correspondence Address 通訊地址 *District 地區 *Hong Kong Island 香港島Kowloon 九龍New Territories 新界Others 其他Remarks / Suggestion 備註 / 意見 How did you learn about our programme? 你是從何得知本課程? *Our Centre Website 本中心網頁HKAGE 香港資優教育學院School 學校Facebook 面書Other Parents 其他家長Friends 朋友 By registering now, I agree that any program photos/videos during the program and activities may be used for promotional and archival purposes. I also agree to receive updates from CAISE, Faculty of Education, The University of Hong Kong. I understand that I can cancel my subscription at any time. 本人同意貴機構將課堂及活動情況之照片和錄影作宣傳及存檔用途。本人亦同意繼續接收貴機構之最新消息。本人亦明白可以隨時停止接收相關資訊。 *I understand and agree with the above statement. 本人明白並同意上述之描述。 Verification 驗證碼Please enter any two digits 請輸入任可2個數字 *Example 例 : 12This box is for spam protection - please leave it blank:
