2026 Life Camp for Young Adults

The information you provide will be kept confidential and used solely for registration and communication related to this camp.
您在本網站所填寫的個人資料，僅用於此次大專營的報名及活動聯絡之用。

＊Required 必填

Name
英文姓名

This field is required. 請填寫英文名字

This field is required. 請填寫英文姓氏

If you have a Chinese name, please enter it below. 如果您有中文姓名，請填寫，若無則免填。

Chinese Name
中文姓名

This gender information will be used only to make appropriate room assignments. We respect everyone's privacy and gender identity. 此性別資訊僅為安排住宿之用。我們尊重您的隱私及性別認同。

Gender(for rooming purposes)
性別

Female 女

This field is required. 請選擇性別

Male 男

Non-binary / intersex / gender non-conforming 非常規性別

Prefer not to specify / prefer to self-describe 不提供

Birth Year
出生年

This field is blank or the format is incorrect. 未填寫或日期不正確

Language Preference
語言偏好

Mandarin 中文

This field is required. 請選擇語言偏好

English 英文

Both 中英皆可

Residence
居住地

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

Cell Phone
行動電話

This field is blank or the format is incorrect. 請填寫行動電話

Email
電子郵件

This field is blank or the format is incorrect. 未填電子信箱或格式不正確

Confirm Email
確認電子郵件

This field is blank or the format is incorrect. 未填電子信箱或格式不正確

Status 身分

Graduate 已就業或待業中

請選擇身分

Student 在學中

If you have graduated, please fill in the highest level of education. Enter 'G' in Year.
If you do not have major for any reason, you may fill in 'NA' in Major.
若您已畢業，請填寫最高學歷；年級請填寫「畢」
若您是高中生，系所科請填「無」

School
學校

This field is required. 請填寫學校

Major and year
系所年級

This field is required. 請填寫系所科

This field is required. 請填寫年級

If you are currently employed, please provide your job title and company.
公司名稱及職稱：已在職者填寫即可，在校生打工不必填寫。

Company
公司名稱

請填寫公司名稱

Job Title
職稱

請填寫職稱

Please tell us what brings you to this event.
為何想報名此營隊

請填寫為何想報名此營隊

How did you hear about this event?
如何得知此營隊？

Single Choice. Choose the major source.
單選，請選最主要管道。
Website 網站

This field is required. 請選擇得知管道

Email 電子郵件

Flyer 傳單

Relative/Friend 親友介紹

Name of Relative/Friend
介紹人姓名

＊EMERGENCY CONTACT 緊急聯絡人資料＊

Name of Contact
緊急聯絡人姓名

請填寫本欄位

Relationship
與學員關係

請填寫本欄位

Cell Phone
行動電話

This field is required. 請填寫本欄位

Home Phone
室內電話

This field is required. 請填寫本欄位

＊CONSENT 同意聲明＊

Photos and videos will be taken during the camp for educational and informational purposes. By participating, you acknowledge that you may appear in these materials and consent to the Bliss & Wisdom Foundation of Culture and Education using these materials in publications and media.
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。

Consent 同意聲明

I consent 我同意

Please check. 請圈選本欄位

2026 Life Camp for Young Adults REGISTRATION

＊EMERGENCY CONTACT 緊急聯絡人資料＊

＊CONSENT 同意聲明＊