「西九茶館劇場——陳廷驊基金會教育專場」網上版節目
The D. H. Chen Foundation – West Kowloon Tea House Student Matinees Online Programme

報名表格
Application Form

網上版節目費用全免，歡迎本地中學報名。
The Tea House Student Matinees online programme is free of charge and suitable for local secondary schools.

節目長約30分鐘，並設有場刊及教學資源手冊，支援參與學校進行教學活動。
The programme is approximately 30 minutes long. House programme and learning packs are available to support learning and teaching.

報名方法 To Apply

請填妥以下表格，並於擬安排的節目觀賞日期4星期前提交申請。（參加學校將可在指定時間內觀看有關網上節目）
Please complete and submit this form 4 weeks before the date you intend to use the online programme (access is time-limited and for participating schools only).

西九文化區教育及拓展組會於收到表格後14個工作天內以電郵回覆，以確定節目觀賞日期及有關安排。
The Performing Arts Learning and Participation Team at West Kowloon Cultural District will contact you via email to confirm viewing arrangements within 14 working days.

使用條款 Terms of use

本網上節目僅供中學作教育用途，校方不得向第三方透露觀賞節目的網上連結及登入密碼。
The online programme is for secondary schools’ educational use only. Schools should not disclose programme links and/or login passwords to a third party.

此網上節目只供申請學校的師生於指定時間收看。
The online programme may only be accessed by teachers and students from participating schools at the agreed date/time as specified on the application form.

本網上節目的版權由西九文化區管理局（管理局）擁有。本網上節目僅供教學用途，未經許可，不得將本網上節目內容複製、轉載、改編、展覽、轉化或以任何方式作商業用途或向公眾展示。任何人未經管理局書面同意前作出上述行為，將被視為侵犯版權，管理局保留法律追究之權利。
The copyright of this online programme is owned by West Kowloon Cultural District Authority (WKCDA). This online programme is for educational purposes only. Any unauthorised copying, reproduction, adaptation, transformation, exhibition, commercial usage or making it available to the public without WKCDA’s prior written consent is strictly prohibited. WKCDA reserves all rights against any copyright infringement.

如有查詢，請於辦公時間內電郵至learning@wkcda.hk或致電2200 0818與教育及拓展組聯絡。
For enquiries, please contact the Performing Arts Learning and Participation team at learning@wkcda.hk or phone 2200 0818 during office hours.

Question Title

* 1. 節目觀賞日期 Date :

節目觀賞日期 Date

Date

Question Title

* 2. 節目觀賞時間 Viewing Time:

節目觀賞時間 Viewing Time

Time

AM/PM

Question Title

* 3. 學校資料
School Information

學校名稱：
School Name:

電話號碼：
Phone:

傳真號碼：
Fax:

電郵地址：
Email:

郵寄地址：
Address:

Question Title

* 4. 聯絡人資料
Contact Person Information

老師姓名：
Name of teacher:

職稱：
Position:

任教科目：
Main subject:

直線電話：
Office phone:

電郵地址：
Email:

Question Title

* 5. 參與學生資料
Student Information

人數：
Group size:

班級：
Grade / Form:

配合教學科目：
Subjects to be complemented:

Question Title

* 6. 參與老師資料
Teacher Information

人數：
Group size:

Question Title

* 7. 你是否需要通達錄像版本?
Do you need accessible videos for this programme?

是
口述影像版本
Yes
Audio description version

是
手語及劇場視形傳譯與通達字幕版本
Yes
Sign language and theatrical interpretation version with accessible captions

否
No

Question Title

* 8. 聲明
Disclaimer:

茲證明上述由本人所屬學校／機構授權提交之資料均正確無誤。
I certify that the above information provided on behalf of my school / organisation is correct and complete.

Question Title

* 9. 使用條款和私隱政策
Terms of use and privacy policy:

本人已閱讀並接受網上版節目的使用條款和西九文化區管理局的私隱政策。
I have read and accept the terms of use above, as well as the West Kowloon Cultural District’s Privacy Policy.

Question Title

* 10. 訂閱電子通訊：
Subscribe to our e-newsletter:

本人欲訂閱《西九藝訊》電子通訊。
I would like to subscribe to “What’s On at West Kowloon” e-Newsletter.

Question Title

* 1. 節目觀賞日期 Date :

Question Title

* 2. 節目觀賞時間 Viewing Time:

Question Title

* 3. 學校資料School Information

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* 4. 聯絡人資料Contact Person Information

Question Title

* 5. 參與學生資料Student Information

Question Title

* 6. 參與老師資料Teacher Information

Question Title

* 7. 你是否需要通達錄像版本? Do you need accessible videos for this programme?

Question Title

* 8. 聲明Disclaimer:

Question Title

* 9. 使用條款和私隱政策Terms of use and privacy policy:

Question Title

* 10. 訂閱電子通訊：Subscribe to our e-newsletter:

* 3. 學校資料
School Information

* 4. 聯絡人資料
Contact Person Information

* 5. 參與學生資料
Student Information

* 6. 參與老師資料
Teacher Information

* 7. 你是否需要通達錄像版本?
Do you need accessible videos for this programme?

* 8. 聲明
Disclaimer:

* 9. 使用條款和私隱政策
Terms of use and privacy policy:

* 10. 訂閱電子通訊：
Subscribe to our e-newsletter: