BeClass 線上報名系統

2020國家地理路跑-世界地球日50週年-自主健康調查表 (2020-08-18)(報名截止)
※ 選手姓名/Name
※ 身分證字號/ID
※ 生日
※ 行動電話/phone number
※ 1.過去14天是否發燒、咳嗽或呼吸急促症狀?
Did you have a fever, cough or shortness of breath in the past 14 days? (發燒定義為耳溫≧38℃或額溫≧37.5℃,或有其他急性呼吸道感染症狀)


※ 2.過去14天是否有出國史?
Has there been any time of going abroad in the past 14 days?


2-1您過去14天出國之國家為何?(若無出國史此題可跳過)
What is your country of going abroad in the past 14 days?
This question can be skipped if there is no going abroad.
※ 3.您是否為慢性病及孕婦等高危險族群?
Are you a high-risk group such as chronic diseases and pregnant women?


※ 活動當天若經醫護人員測量體溫後若有發燒或咳嗽等症狀,本人願意放棄路跑參賽資格並接受不予退費。
On the day of the event, if the medical staff measures the body temperature and has symptoms such as fever or cough, I am willing to give up the qualification for running and accept no refund.


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