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Download registration form - Archery Club of Singapore_1_

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									ARCHERY SATELLITE CENTRE @ PUNGGOL SOUTH
PUNGGOL SOUTH CONSTITUENCY SPORTS CLUB
Blk 458, Hougang Ave 10, #01-405, Singapore 530458
Phone: 81989871         Email: archery_alliance@yahoo.com.sg
Web Page: www.archeryclubspore.com

BASIC ARCHERY COURSE REGISTRATION

Name :                                                              Gender: Male /Female

Address:                                                            Postal Code:

Phone :                           Email:

Age :                   Nationality:            Occupation:
_____________________________________________________________________

Charges          : S$80.00        3 sessions, 2 hours /session

Payment, which is non-refundable on the 1st session by cash or cheque payable to
Punggol South CSC

Schedule         : 1 session per week end
                   Group 1        7 – 16 years old           1000 to 1200 (Sat)

Venue            : Punggol South Archery Centre
                   (open field next to Blk 543 Hougang Ave 6)
MRT              : Buangkok Mrt Stn
Bus              : Service No 27 from Hougang Bus Stn
_____________________________________________________________________

For registration email to Mr. Chan: ascps@outlook.com
Registration is on a 1st come 1st served basic.

Upon confirmation of the scheduled course, we will issue a confirmation by email.

**      All equipment will be provided.
**      Courses open to public & they don’t have to be member of the club.

For further information please contact Simon Ho @ 81989871 or email
archery_alliance@yahoo.com.sg

Children below the age of 12 must be accompanied by an adult to the venue.

Parent/Guardian’s Name            :
Relationship                      :        Father / Mother / Guardian
Address                           :
Postal Code                       :
Occupation                        :                                 Phone:


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                 PUNGGOL SOUTH CONSTITUENCY SPORTS CLUB
                            ARCHERY COURSES
                                          INDEMNITY FORM



Particulars of Participant

Name as in * NRIC / BC :      ____________________________________              Gender: * Male / Female

* NRIC / BC No.:                              Date of Birth:                          Age:

Address:

Email Address:                                                   Postal Code:

Contact No.:                            (H)                      (HP)                        (Office)



In Case Of Emergency , please contact           Name : _______________________________

Relationship :   _____________________          Tel (H) : _______________ (HP) : ________________



To be completed by Participant who is 21 years of age and above

I, ___________________________ holder of NRIC/Passport No. ________________, shall not hold the
People’s Association Punggol South CSC their employees and their agents responsible for any damage to
or loss of property or any injury or loss of life which may be sustained by myself during the activities or
arising from or in connection with the above club activities. I further declare and confirm that I am
currently not suffering from any acute ailments or diseases and I am fit to participate in the above club
activities.

Signature of Participant: ______________________________            Date: _________________



To be completed by Parent of Participant below 21 years of age

I, _______________________ (Name of parent), NRIC/Passport No. __________________________,
whose particulars are as written above, allow my child to participate in the above club activities. I shall
therefore not hold the People’s Association Punggol South CSC their employees and their agents
responsible for any damage to or loss of property or any injury or loss of life which may be sustained by
my child during the activities or arising from or in connection with the above club activities. I further
declare and confirm that my child is currently not suffering from any acute ailments or diseases and my
child is fit to participate in the above club activities.


Signature of Parent:   ___________________________________           Date: ________________


* Delete where applicable



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