Participant / Team leader particulars
* compulsory
Participant 1
Name*  English:
Last name First name
   
Gender*
Male Female
   
Contact No.*
   
E-mail*
   
Address*
   
YDA Member
Yes  Membership No. No  
   
Group*
A. Individual
B. Family
C. Corporate or organisation
Total Participants
   
Team Name

For Corporate & Organisation only
   

Participating Members
Name *
Contact No. *
Gender*
 
Participant 2
Male Female  
Participant 3
Male Female  
Participant 4
Male Female  
Participant 5
Male Female  
[+]        

Minimum donation
Group A: Individual HK$500 per person (Student HK$100)
Group B: Family $800 per family (max 5 people)
Group C: Corporate or Organisation $3,000 per team (max 10 people)

Donation method
Online: Via PayPal (you do not need a PayPal account)
Please submit your registration to donate online.

Cheque: Crossed cheque payable to “Youth Diabetes Action”

Bank deposit: HSBC 808-371959-838
Please return the cheque (s)/ deposit receipt together with completed sponsorship forms to YDA.
Address: B17, 9/F, Block B, Merit Industrial Centre, 94 To Kwa Wan Road, Kowloon
Email: event@yda.org.hk

Sponsorship details
Full name of sponsors*
Amount (HKD)*
Receipt Required*
 
Yes No  
Yes No  
Yes No  
Yes No  
Yes No  
[+]      

Participant's Declarations
  1. I declare that the information provided is true and accurate.
  2. I hereby exempt the organiser and sponsors from any legal liabilities towards me related to illness, injury, death and personal loss caused by any reasons (including but not limited to negligence) arising from my participation.
  3. I consent Youth Diabetes Action to use my personal data, photos and images for future communication.
  4. I will obey all the rules, arrangements and decisions made by Youth Diabetes Action.

Personal data collected will be treated as strictly confidential and will be used for the promotional and charity events of YDA only. All forms, donations and documents collected will not be returned.
Tick if you do not wish to receive further information other than service of YDA & “Hike for Youth Diabetes” in the future.

Donation Undertaking

I hereby declare and undertake that all funds raised through participating directly or indirectly from my participation in "Hike for Youth Diabetes 2018" will be submitted in full to Youth Diabetes Action on or before the stipulated closing date. Youth Diabetes Action has the right to alter or cancel the event because of weather or other force majeure, in which case all donations will still go to Youth Diabetes Action.

I agree to all the above rules and stipulations and understand that the information concerned is used only for the named event.
I have already read and agree with Notice to Participants, Hiking Tips and Safety Guidelines.