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Download registration form - Archery Club of Singapore

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					                             ARCHERY CLUB OF SINGAPORE


Archery Try-out Fun Shooting

   1.   Program       : Try out fun shooting
   2.   Venue         : Punggol South Archery Centre
   3.   Duration      : 1 hour
   4.   Course Fee    : $15.00
   5.   Schedule      : Saturday
                                    Aug 2012   11, 18 & 25
                                    Sep 2012   08, 15 & 22
                                    Oct 2012   13, 20 & 27



   6. Time            : 1 to 2 pm
   7. Size            : 10 pax per session
   8. Attire          : sport wear with shoe



Registration

   1. Email following information to angieacs2008@gmail.com

        a. Name :

        b. Age :

        c. Gender :

        d. Contact phone number :

        e. Schedule Date:
           (Indicate date)



   2. Fill & sign indemnity form. To be submit before the shooting.

   3. Payment by cash or cheque payable to Archery Club of Singapore before the shooting.
                                ARCHERY CLUB OF SINGAPORE
                       ARCHERY COURSES & ACTIVITIES INDEMNITY FORM

Particulars of Participant

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

* NRIC / BC No          : _______________________Date of Birth:_________________ Age: __________

Address                 : ______________________________________________ Postal code: ________

Email Address           : _______________________________________________


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 No. ____________ shall not hold the Archery Club of Singapore 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 me 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 Archery
Club of Singapore 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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