Updating of Information Leisure and Cultural Services Department LCS637a (Revised in April 2019)
Please tick the box for duplicate For Office Use
submission of the enrolment form ENROLMENT FORM FOR RECREATION AND SPORTS ACTIVITIES
to update information (RECREATION AND SPORTS ACTIVITIES FOR INDIVIDUALS) Full Rate Concessionary Rate
Notes to Applicants
1. Applicants/applicants aged under 18 and their parents/guardians will be deemed to have read and agreed to abide by the provisions set out in the
prospectus/the enrolment form once the enrolment form is submitted.
2. Applicants shall complete all part, sign the declaration and tick the appropriate box(es). If an application contains incomplete or inaccurate
information, or if there is duplicate submission of enrolment forms, the application will not be considered and no notice will be given.
3. In the case of a joint application (see section on “Joint Application” below for details), both applicants (including a person with disability and his/her
accompanying carer) will be disqualified if there is duplicate submission of enrolment forms by any of the applicants, or if any of the applications
contain incomplete information, or if any of the applicants does not meet the age requirement.
4. For activities of the same type (e.g., all swimming courses are considered to be activities of the same type, regardless of the type of swimming stroke
taught or the level of the course.) organised by the same district with the same enrolment period and with places allocated by ballot, applicants are
only allowed to submit one enrolment form, in person or by post, to the District Leisure Services Office organising the programme/designated
venues in the district. For activities of the same type with different enrolment periods, or activities of different types, applicants shall submit
separate enrolment forms.
5. Please refer to the prospectus or programme information sheet for activity fees. Applicants shall produce the original or a copy of their identity
documents upon enrolment for verification of their eligibility for participation and/or concessionary rate.
6. To submit the enrolment forms by post, please make sure that all mail items bear sufficient postage. This Department will not accept any underpaid
mail items and such items will be handled by the Hongkong Post. For calculation of postage, please refer to the Hongkong Post’s website
(http://www.hongkongpost.hk/en/postage_calculator/index.html).
7. Please fill in the Training Course Enrolment Form (Form No. LCS71a) for enrolment in water sports activities (including canoeing, sailing and
windsurfing).
8. The information provided will only be used by the LCSD for purposes relating to enrolment, announcement of ballot results, compilation of
statistics, future contact and opinion survey. Only staff duly authorised by the LCSD will be given access to your personal data. For correction of
or access to the personal data you have submitted, please contact the counter staff of the relevant District Leisure Services Office in the district.
Name of For activities with places allocated Programme
Programme on a first-come-first-served basis No.
For activities with places Order of Priority 1st Choice 2nd Choice 3rd Choice 4th Choice 5th Choice
allocated by ballot Programme No.
I. Particulars of Applicant
Name: Identity Document No.: Sex: Male Female
(as shown in the identity document) Please tick the box if the applicant is a non-Hong Kong Identity Card holder
Date of Birth: Contact Tel. No.: (Day) (Mobile)
Day Month Year
# #
Name of Emergency Contact Person: Tel. No. of Emergency Contact Person:
(Items marked with “#” are optional. Please consider whether the consent of the emergency contact person should be obtained before providing
his/her name and contact number.)
Joint Application (Only for activities which accept participation in pairs (e.g. Social Dance Training Course, Parent-child Badminton Training Course, Excursion for Elderly and
Day Camp for Elderly) or by a person with disabilities together with an accompanying carer)
Please fill in the following blank and tick the appropriate box. The two enrolment forms shall be submitted together.
Name of the other Reason: Participation in pairs Participation by a person with disabilities
Joint Applicant: together with an accompanying carer
II. Declaration (2) Declaration by Parent/Guardian of Applicant aged under 18
(1) Declaration by Applicant aged 18 or above (The parent/guardian must be aged 18 or above)
I hereby declare that I am healthy, physically fit and suitable I hereby declare that I agree to allow the applicant to participate in the above
to participate in the above activity. activity, and that he/she is healthy, physically fit and suitable for the activity.
Signature of Applicant: Name of Parent/Guardian:
Date: Signature of Parent/Guardian: Date:
(3) Declaration by Parent/Guardian of Applicant of Water Safety Course for Baby (Each baby participant must
be accompanied in the pool by a parent or guardian who is aged 18 or above and wears a swimming suit; otherwise, the baby
participant will not be allowed to attend class.)
I hereby declare that I agree to allow the applicant to participate in the above activity, and that he/she is healthy, physically fit and suitable
for the activity. I also declare that I am aged 18 or above, and am healthy, physically fit and suitable for accompanying the applicant in
the activity.
Name of Parent/Guardian: Signature of Parent/Guardian: Date:
Applicants for the following activities (including training course and briefing) are required to submit their enrolment form with a duly completed “PAR-Q
& YOU” questionnaire. If they fail to do so, their application will not be considered and no notice will be given. Applicants who answer “yes” to one or
more questions in the questionnaire may not be suitable to participate in the activities. For the sake of safety, applicants are advised to consult a doctor in advance
and shall produce a medical certificate upon enrolment to prove their suitability to participate in the activities. Applicants who fail to produce a medical certificate are
required to sign the “Declaration by Applicants” in the questionnaire and submit it together with the enrolment form.
Aerobic Body-Mind Fitness Fitness Hydro Long Distance QualiWalk Stress Management and Briefing on Proper Ways to Use
Dance Stretch (Multi-gym) Exercise Fitness Running Physical Relaxation Fitness Equipment
Return Address Labels (Fax no. or address must be provided)
Name : Name :
Fax No. : Fax No. :
Address : Address :
