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RICH KIDS SMART KIDS HAPPY KIDS BOOT CAMP 2011

APPLICATION FORM



1.Fill in the fields below 2.Save and Email a copy to us at enquiry@moneychampkids.com

3.Make payment 4.Email us the proof of payment 5.Check your inbox for confirmation email





Section A1 – Choose Subjects & Modules (pls mark x) Section A2 - Discount

Money Champ (incl. 1 mth Retail Rental) 5 hr $90 Group Discount $0

+ Home Practice Kit* (For New Students) 2 hr $65 Pax Discount $0

+ Challenge Ticket 2 hr $30

Science* 3 hr $100

Speech & Drama 3 hr $90

Music 4 hr $80 Summary

Gymnastics 2 hr $60 No. of Selected Items 0

Meals ( Lunch + Snack) for 2 days - $10 Total Payable $ -

*Activity that includes the purchase of additional training materials





Section B – Participant’s Particulars

Given Name: Preferred Name:

BC/NRIC/Passport No: Gender:

Date of Birth: Age:





Section C – Parent’s/Guardian’s Particulars

Parent's/ Guardian's Name: Relationship:

Contact Number: Email:

Mailing Address:





Section D – Select Date/ Venue (pls mark x)

Bt Timah [30 Nov - 1 Dec 2011] (Open) Bt Timah [21 Dec - 22 Dec 2011] (TBC)

FREE Parent Preparatory Workshop (Recommended for all parents to understand topics cover in Bootcamp)





Section E – Payment Methods

PAYMENT METHODS:

1) Cheque made payable to: The Kids Hub Pte Ltd

Please send an email to us indicating your child's name and the cheque no .





2) Funds Transfer (Local) :

Bank Name OCBC (North Branch)

Account No. 591 4958 25001

Please send an email to us indicating your child’s name and the ATM reciept number .





3) Internet Banking Transfer (Local):

Bank Name OCBC (North Branch)

Account No. 591 4958 25001

Please indicate your child’s name in the payment details and email us indicating your child’s name and the transfer confirmation from bank.



4) Credit Card:

Pls provide your credit card details below and payment will be charged via paypal.com.



Credit Card# (CCV): Expiry Date:









Parent's/ Guardian's Name: Date:

By entering my name in the space above, I accept the information provided above is accurate based on current status.



1.Fill in the fields above 2.Save and Email a copy to us at enquiry@moneychampkids.com

3.Make payment 4.Email us the proof of payment 5.Check your inbox for confirmation email



*Terms and conditions apply. All programme prices and schedules are subjected to changes without prior notice.

The boot camp partners and managers reserve the rights to deny and refuse any participants from the boot camp.



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