中僑長者夏日俱樂部報名表/ S.U.C.C.E.S.S. Seniors Summer Club Registration Form

中僑長者夏日俱樂部報名表/ S.U.C.C.E.S.S. Seniors Summer Club Registration Form
我們中僑應急準備計劃誠邀您參加我們即將舉辦的長者夏日俱樂部，具體信息如下:

S.U.C.C.E.S.S. Emergency Preparedness Project would like to cordially invite you to join our upcoming Seniors Summer Club, please find the details as below:

日期：2025年7月7日（星期一）/ Date: July 7, 2025 (Monday)

時間：上午10時30分 – 下午3時 / Time: 10:30 AM – 3:00 PM

地點：中僑禮和堂，溫哥華片打西街28號 / Location: Choi Hall, 28 W Pender St, Vancouver, BC V6B 1R3

活動包括 / Activities include：
- 10:30 – 11:00 資訊攤位/ Info Booth
- 11:00 – 12:30 中醫暑熱小貼士講座（粵語）/ TCM Tips for Staying Cool Workshop (Cantonese)
- 12:30 -1:00 小食時間（先到先得） / Snack Time (First Come First Serve)
- 1:00 – 2:00 資訊攤位/ Info Booth
- 2:00 – 3:00 DIY 清潔噴霧工作坊 / DIY Spray Cleaner Workshop (前30位報名者可獲得一份物資 / The first 30 registrants will receive a supply kit.)
當天參加者會獲得一個印花咭，每完成一個攤位打卡和參加其中一個講座則會得到一個印花，打卡完畢後可到登記處領取您的小禮物(先到先得)。

On the day of the event, participants will receive a “Stamp Card”. For each booth they visit and each workshop you attend, you will receive a stamp. Once you have completed the Stamp Card, you can go to the registration desk to collect your small gift (first come, first served).

如有任何疑問，請致電236-838-5908/ 604-335-7154與我們聯繫。名額有限，期待您的參與！

For any questions, please contact us on 236-838-5908/ 604-335-7154. We look forward to seeing you!
姓名 / Name*

名字 / First Name姓氏 / Last Name
電話號碼 / Phone Number*
Please enter a valid phone number.
電子郵件（如有）/ Email (If any)
性別 / Gender

女 / Female男 / Male第三型別 / Non-binary/third gender不願透露 / Prefer not to sayOther
年齡組別 / Age Group

19歲或以下 / Under 19 years19 – 24歲 / 19 - 24 years25 – 34歲 / 25 - 34 years35 – 44歲 / 35 - 44 years45 – 54歲 / 45 - 54 years55 – 64歲 / 55 - 64 years65歲或以上/ 65 years or above
您的第一語言是？/ What is your first language?

廣東話 / Cantonese普通話 / Mandarin英文 / EnglishOther
您的原居地是？/ Where are you from?

香港 / Hong Kong中國 / China台灣 / Taiwan馬來西亞 / Malaysia越南 / VietnamOther
您住在哪一個城市？/ Which city does you live?

溫哥華 / Vancouver本那比 / Burnaby列治文 / Richmond高貴林 / Coquitlam素里 / Surrey三角洲 / DeltaOther
您的移民途徑 ? / What was your immigration category/type?

家庭團聚 / Family Class（開放）工作簽證 / (Open) Work Permit國際學生 / International Student投資移民 / Investment難民 / Refugee不願透露 / Prefer not to sayOther
您現在加的身份 ? / What is your immigration status?

加拿大公民 / Canadian Citizenship永久居民 / Permanent Resident臨時工作簽證 / Temporary Foreign Worker國際學生 / International Student不願透露 / Prefer not to say
您住在加拿大多長時間? / How many years have you been resident in Canada?

1-2年 / 1 – 2 years3-4年 / 3 – 4 years5-10年 / 5 – 10 years10年或以上 / 10 years or more
您想參加哪些活動？(請選擇所有適用項目) / Which activities would you like to join? (Please select all that apply)

10:30 – 11:00 資訊攤位/ Info Booth11:00 – 12:30 中醫暑熱小貼士講座（粵語）/ TCM Tips for Staying Cool Workshop (Cantonese)12:30 -1:00 零食時間（先到先得） / Snack Time (First Come First Serve)1:00 – 2:00 資訊攤位/ Info Booth2:00 – 3:00 DIY 清潔噴霧工作坊 / DIY Spray Cleaner Workshop (前30位報名者可獲得一份物資 / The first 30 registrants will receive a supply kit.)
您是否參加過應急準備計劃的活動？ Have you ever joined any activity hold by Emergency Preparedness Project?*

有 / Yes沒有 / No
您是否願意中僑互助會就相關活動與您聯繫? / Would you like to be contacted regarding other related programs from S.U.C.C.E.S.S.?

是 / Yes否 / No
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