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									293 Lorong 6 Toa Payoh S (319387) Fax: 6355 4527 Huai Xin:Lhuaixin@safra.sg / 6355 4506 Nelson: Knelson@safra.sg / 6355 4511 May: Lmay@safra.sg / 6355 4512

APPLICATION FORM
Pls Tick Activity InspireMum™ Pre-Natal Pilates Date Every Sat, 22 Aug – 24 Oct 09 2pm - 3pm Every Sat, 12 Sep – 14 Nov 09 11:30am- 12:30pm Every Sat, 12 Sep – 14 Nov 09 1pm- 2pm Every Sat, 12 Sep – 14 Nov 09 3pm - 4pm Sun, 13 Sep 09 10am - 11am Sun, 27 Sep 09 10am - 6pm Code Fees Member $256.80 Guest $321.00

TP-MGEC-09/10-MUMS

InspireFamily™ Yoga (For 1 adult and 1 child)
Inspire Couples Pilates InspireFamily Dancercise

TP-YOGA-09/10-YOGA

*$325.30

*$406.60

TP-MGEC-09/10-EXER

*$433.35

*$481.50

(For 1 adult and 1 child)
Grandparents’ Day Special: InspireYoga For Seniors InspireBaby™ & Child First Aid/CPR 1) * Fee is applicable for a pair. 2) Yoga mat will not be provided. Principal Participant’s Particulars - PART I

TP-MGEC-09/10-DANC

*$325.30

*$406.60

TP-WORK-09/10-055 TP-WORK-09/10-054

$21.40 $90.95

$26.75 $101.65

Name : _________________________________________________________________ NRIC: _______________________ Sex: M / F SAFRA Member: Y / N DOB: ____/____/___________

Address: ______________________________________________________________________________ S(___________) Tel: ___________________________ (HP/O/H) Email: _______________________________________________________ Child’s Particulars (If Applicable) - PART II Name : ___________________________________________________________________ NRIC: ____________________ Sex: M / F SAFRA Member: Y / N DOB: ____/____/___________

________________________ Participant’s signature

____________________ Date

Terms & Conditions 1. Submission of this registration form is not proof of acceptance. Registration will be confirmed in writing. NO telephone booking will be accepted. 2. Please note that registration close 1 week before activity day. As the activity is subject to minimum number of participants, members will be informed 3 days before activity day if the activity is confirmed. 3. All payments are to be made prior to the activity/workshop. Fees paid are non-refundable unless the activity/course is cancelled by SAFRA. 4. The Management reserves the full rights to cancel or change details of event without prior notice. 5. The Management is not liable for any mishap or injury, or any loss or damage by participant during or as a result of the event. 6. All cheque to be made payable to ‘SAFRA’. 7. SAFRA shall deduct a nominal fee of 10% (Members) 8. and 15% (Guests) as admin cost for refund cases. Request for refund shall be determined on case-to-case basis. Declaration 1. I hereby declare that all particulars are true and correct. 2. I hereby take up the above activity/course and will not hold SAFRA and its staff and other organising parties responsible for any mishap or injury. 3. I agree to abide with all rules and regulations of the activity. 4. I understand that the activity will be confirmed unless notified otherwise. 5. SAFRA shall be the sole interpreter of all terms and conditions laid down and reserves the right to amend fees, venue and commence date without prior notice.

Checked By: ______________

Date: ____________

Official Use Only Receipt No: ______________________

Amount : ___________

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DETAILS OF HEALTH & WELLNESS COURSES
Activity Description InspireMum™ Pre-natal Pilates is an ideal workout for mums-to-be due to their many benefits associated to core muscles necessary to support the baby. As your pregnancy progresses, InspireMum™ Pre-Natal Pilates helps to increase your strength, flexibility and endurance. The five layers of muscle, which make up the pelvic floor, become stronger and therefore, resisting tears. By strengthening the lower back muscles, the posture during pregnancy is improved, helping to minimize low back strain. Improved circulation leads to more energy and can lessen haemorrhoids, varicose veins and swelling of extremities. Strengthening the pelvic floor can also reduce urinary incontinence. It also lengthens the tight muscles, like the hamstrings, means fewer leg cramps. Yoga provides tremendous benefits to people of all ages. InspireFamily™ Yoga gives the family an opportunity to do a workout together and promotes not only physical and mental health, but also bonding. The class is arranged in a pair (one adult and one child) format. This class is suitable for young children who are "world" explorers. The class will include music, dance, yoga poses and lots of fun! InspireFamily™ Yoga enhances the child's creativity and motor skills development through the Inspire props and most importantly, parent's touch and communication. This is a great yoga for all families to participate. Child – 3 to 14 years old Want to do some form of exercise with your loved one? Most people know of the benefits of Pilates, but how about to do challenging poses through the support of each other? Inspire Couples Pilates provides you lots of great fun and laughter while you do all the strengthening and stretching of the muscles. This is a good workout for couples to establish a great bonding and to foster communication as partners go through the classes. Pilates represents a unique approach to exercise that develops body awareness, improving and changing the body's postural and alignment habits and increasing flexibility and ease of movement. The core fundamentals of Pilates are based on a thorough understanding of the anatomy of the human body. Working on the deep postural muscles of the body, Pilates rebalances muscle groups, bringing the body into correct alignment and restoring normal, natural movement. It thus allows the body to function more efficiently. Its key principles are relaxation, breathing, co-ordination, concentration, stamina, flow and alignment. Get healthy and have fun with your whole family through dancing your way to the Hip Hop and Reggae music! Hip hop dance is a music and cultural movement that has evolved in the modern times. Hip hop includes many genres of dance and is getting even popular with the young children. Reggae is a music genre that works with fast rhythms and it’s first developed in Jamaica in the late 1960s. Reggae focuses a lot on the precise body isolations and percussive hip movements. Child – 3 to 14 years old. A great workout for seniors! Searching for ways to improve your quality of life and remain active as you enter into the next phase? In today’s aging population, more people are seeking for a healthy and fulfilling lifestyle. Increasingly, people are turning to yoga for its ability to slow down and reverse the aging process. Yoga’s preventive and rehabilitative qualities not only restores vitality to the body, but also opens and expands the mind and soul, bringing continuing growth rather than deterioration as we age. InspireYoga for Seniors is a class specially catered to the needs of older beginners. Slow, restorative, breath-based and with the use of props, the class provides a supportive environment to help relieve common health concerns of elderly in their midlife and older. You are never too old to do yoga! Essential Infant & Child Basic First Aid/CPR training is required to fully equip yourself or your helper for any emergency at home. This course is a necessity for families with infants or children at home. The InspireBaby™ & Child First Aid/CPR Course is designed to equip parents or caregivers with the essential skills of First Aid and CPR. It provides a good coverage of common emergencies and the correct management.

InspireMum™ Pre-Natal Pilates (10 Sessions)

InspireFamily™ Yoga (10 Sessions)

Inspire Couples Pilates (10 Sessions)

InspireFamily Dancercise (10 Sessions)

Grandparents’ Day Special: InspireYoga For Seniors

InspireBaby™ & Child First Aid/CPR Course

Company Profile Inspire Mum & Baby was conceptualised to support family planning and growth with a range of services to help mothers, fathers, babies and children stay close, healthy and fit. The focus of Inspire Mum & Baby is to advocate fitness, health and wellness and to create fun for the child and the rest of the family, as well as to create better bonding through combined programs for parents, grandparents and the child. Inspire Mum & Baby believes in the personalised touch to inspire a better future for the generations to come. All classes are conducted in small groups for better focus and participants will receive more attention from qualified and certified instructors.

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