Application Form for Education and Extension Programmes

Name: ___________________________________
Age:   _________ Sex: ________  ID no.: _________________________________
Address:______________________________________________________________
_____________________________________________________________________
Telephone no.: (office)
		 (home)
                         (mobile phone/ pager no.)
Fax no.:

Name of school:  ______________________________________________________
		                          (For school programme only)

Name and date of programme: ___________________________________________
				
Cheque no.:_______________________________   Amount: __________________
Signature of applicant: ______________________    Date:  ____________________

Signature of parent/guardian*：________________________    
(*Only required for applicants under the age of 18)

Notes on applications
1.	Please note that the museum only accepts applications by mail. Applicants should send the completed application form with a crossed cheque made payable to “The Government of HKSAR” and a stamped, self-addressed envelope to the Hong Kong Heritage Museum. Please mark “Application for Education and Extension Programmes” on the envelope. Only one application form with a separate crossed cheque will be accepted for each person and each programme. Please refer to note 3 for concessionary rate.  
 
2.	Incomplete application forms and materials will not be accepted.

3.	Full-time students, the disabled and senior citizens aged 60 or above can enjoy a concessionary rate of half price. Museum Pass holders and docents of the Hong Kong Heritage Museum are also entitled to a 10% discount. Please submit a photocopy of the relevant document for application.

Applicant	Photocopy of the relevant document should be submitted	
Full-time students	Valid student I.D. card	
People with disabilities	Document showing the receipt of Disability Allowance from the Social Welfare Department; or document from registered rehabilitation service agencies; or Central Registry for Rehabilitation Card for People with Disabilities 	

Senior citizens aged 60 or above	Identification of their age	
Museum Pass holder 	Museum Pass	
Docent of the Hong Kong Heritage Museum	Docent I.D. card	

4.	To ensure their safety, disabled applicants are welcome to call us on 2180 8180 or 2180 8260 for more information before applying.

5.	Due to the limited number of seats available, applications are granted on a first-come-first-served basis. Successful applicants will be notified of the arrangements before the activity commences. Cheques will be returned to unsuccessful applicants. The museum reserves the right of approval of applications.

6.	Enrolment fees received from successful applicants are not refundable.

7.	Enrolment fees do not include meals.