Email *

Full Name 中英文姓名 *

IC No. / Passport No. 身份证号码 / 护照号 *

Age 年龄 *

Gender 性别 *:
Male 男Female 女

Nationality / Ethnicity 国籍 / 种族 *

Contact No. 联络号码 *

Emergency Contact 紧急联系 Name, Relationship, Contact No. 姓名，关系，手机号码 *

Masterclass Fee Payment 大师班费用支付 *

Please refer to the QR CODE beneath this form for payment method.

付款方式--请参扫描本表格下方的二维码。
Upload 1 supported file: PDF or image. Max 10 MB.

Consent & Declaration 同意与声明

I confirm that the information provided is correct and that I am physically fit to participate in this Zumba masterclass. I release the organizers from any liability for injuries or health issues that may arise during the event.
我确认所提供的信息正确无误，并且确信我的身体健康，适合参加本次尊巴大师班。我同意主办方无需为活动期间可能所引发的任何健康问题，承担责任。

 Yes, I agree. 我同意.