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Be a Membership

Members of the Children’s Heart Foundation(CHF) can receive publications and take part in CHF activities. FREE memberships.

All applications are subjected to approval by the Executive Committee of the CHF.

 

Click here to download application form

(* Compulsory Information)
Membership*
Contact Information
Name (Chi)*
Name (Eng)*
Sex*
Date of Birth*
Please fill-in the right answer
Name of heart disease*
Arranging operation/ CAT?*
Taking medicine regularly?*
Doctor recommends PE class?*
Suitable for outdoor activities?*
Other Chronic Disease?*
If Choose "Yes" above , please state
Other Health problem such as Developmental delay, Epilepsy？*
If Choose "Yes" above , please state
Any food allergy?*
If Choose "Yes" above , please state
Immediate family members一（Main Contact Information）
Name (Chi)*
Name (Eng)*
Sex*
Date of Birth*
Tel*
Email*
Address*
Relationship of members suffered from heart diseases:*
Immediate family members (2)
Name (Chi)
Name (Eng)
Sex
Date of Birth
Relationship of members suffered from heart diseases:
Immediate family members (3)
Name (Chi)
Name (Eng)
Sex
Date of Birth
Relationship of members suffered from heart diseases:
Immediate family members (4)
Name (Chi)
Name (Eng)
Sex
Date of Birth
Relationship of members suffered from heart diseases:
If there is not enough space to fill in the form, please download the form and email it to our organization.
CHF undertakes to comply with the requirements of the Personal Data (Privacy) Ordinance to ensure that personal data collected are properly stored. The personal information collected (Name, telephone number, fax number, email and mailing address) may be used for the purposes of providing you with information of CHF, fundraising appeal,activities/courses invitation as well as for feedback collection and related promotion purposes
The above information is for internal use only and will be kept confidential.

Please complete all compulsory fields

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