*Required 必填
This field is required. 請填寫英文名字
This field is required. 請填寫英文姓氏
This field is blank or the format is incorrect. 未填寫或日期不正確
This field is required. 請填寫居住城市
This field is blank or the format is incorrect. 請填寫郵遞區號
This field is required. 請填寫居住國家
This field is blank or the format is incorrect. 請填寫行動電話
This field is blank or the format is incorrect. 未填電子信箱或格式不正確
This field is blank or the format is incorrect. 未填電子信箱或格式不正確
This field is required. 請填寫學校
This field is required. 請填寫系所科
This field is required. 請填寫年級
請填寫公司名稱
請填寫職稱
請填寫為何想報名此營隊

*EMERGENCY CONTACT 緊急聯絡人資料*

請填寫本欄位
請填寫本欄位
This field is required. 請填寫本欄位
This field is required. 請填寫本欄位
*CONSENT 同意聲明*

We will be capturing photos and videos throughout the camp for educational and informational purposes that highlight our commitment to humanitarian initiatives and community involvement. By attending, you acknowledge that you may appear in these images and videos. Please give your consent for the Bliss & Wisdom Foundation of Culture and Education to use and share these materials.
活動中將有針對大眾的攝影或錄影,以作記錄與報導之用。您有可能被鏡頭所攝取,敬請同意與授權福智文教基金會使用與傳播,感恩您的護持參與。

請檢查是否有未填寫或格式錯誤的欄位。