(International Participants) 15th Sakyadhita International Conference on Buddhist Women

Registration form

REGISTRATION FORM
Hong Kong | June 22 to 28, 2017
The form is ONLY for International Participants.
For local registration, please visit https://hkuems1.hku.hk/hkuems/ec_regform.aspx?guest=Y&ueid=47512



IMPORTANT NOTE
Please note that your registration is NOT confirmed by filling in this registration form. You should settle the registration fee in order to confirm your registration. Please remember to jot down your online registration reference number which you will need to input in the payment page. Places are limited and are allocated on a first come, first served basis.



IMPORTANT PAYMENT GUIDELINES with information of accommodation and local tour
Please read the important GUIDELINES for online payment, accommodations, and local tour at
http://www.buddhism.hku.hk/2017conference/guideline.pdf


before settling your payment online at
Payment page (International) https://donation.buddhistdoor.org/en/giftsforgood/index/c/130



WAIVER
1. I understand that I need to have a valid passport and to observe Hong Kong visa requirements: http://www.immd.gov.hk/eng/services/visas/visit_transit.html .
2. I shall be liable for and shall indemnify the organizers, co-organizers, supporting organizations, and sponsors with respect to any loss, damage, or injury that may be incurred by or be done or happen to me during the 15th Sakyadhita International Conference on Buddhist Women in Hong Kong from June 22 to 28, 2017, and tour.
3. Under no circumstances will the organizers, co-organizers, supporting organizations, or sponsors be responsible or liable for any damage, theft, or loss of any property, goods, articles, or things of the participants.
4. I will purchase travel and/or medical insurance, if needed.
5. I understand that I am responsible for all personal expenses incurred during the conference or tour.
6. I understand and agreed that my image may appear in photos and videos taken during the conference and tour and those photos and videos may be used for educational and publicity purposes.



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Fields marked with "*" must be filled.
 Registration Details
 Email *
 Email (Please input again) *
 First/Given Name *
 Last/Family Name *
 I am a paper/workshop presenter *
 Address 1 *
 Address 2 
 Address 3 
 City *
 State or Province *
 ZIP/Post Code *
 Country *
 Cell Phone *
 Phone 
 Gender *
 Name in Passport *
 Country Issuing Passport  *
 Passport Number (first 4 characters) *
 Passport Date of Expiry * 
 Emergency Contact - Name *
 Emergency Contact - Phone No. *
 Emergency Contact - Email *
 Name on the name badge (exact wording, e.g. Dr. May Swift) *
 Dharma Title (if any) 
 Dharma Name (if any) 
 Affiliation (organization, temple, or other) 
 My preferred language is *
 If your preferred language is Other, please specify 
 Wheelchair user access required. *
 I request sponsored vegetarian lunch(s) (select all that apply) *
 I will refer to the link above for information about accommodation and local tour. *
 I understand that my registration is NOT confirmed without settling the registration fee. *
 I have read the IMPORTANT NOTE above and agree to settle the registration fee. *
 I agree to the WAIVER shown above. *
 I would like to receive future email messages from (select as many as you like)