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REGISTRATION FORM
Activities & Services
Interest
TRIBAL TRIATHLON SINGAPORE
M.Y AQUATICS (M.Y SWIM FOR A CAUSE)
Fees
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Membership Information
MYMCA MEMBER
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Membership ID
Personal Information
Title
Mr
Mrs
Miss
Ms
Dr
Professor
Sir
Participant Name*
Email Address*
PARTIAL NRIC/PASSPORT NO. (E.G. 567A)*
Age
Gender
Male
Female
Date of Birth*
CONTACT NUMBER (HOME/OFFICE)
Mobile Number*
Nationality & Race
Address*
Postal Code*
EMERGENCY CONTACT (RELATIONSHIP, NAME & HANDPHONE NO)*
ALLERGY/DIETARY RESTRICTIONS/MENTAL AND PHYSICAL CHALLENGES
Please indicate any allergy/dietary restrictions/mental and physical challenges the participant may have. Better and suitable care and attention can then be given to participant. This information will be kept confidential.
Remarks
Indemnity
I,
, being the applicant/ parent/ guardian, hereby agree to participate or allow my child/ ward to participate in the Metropolitan YMCA Programme with the understanding that while every precaution will be taken to ensure safety, I will not hold the Association responsible for any loss, injury or damage that may be sustained during the Programme. I agree to have my/ my child's photos or videos taken during the association's outreach events to be used by the association in printed materials or other authorised media.
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