Category: Men / Ladies REGISTRATION FORM Name: _____________________________________________________ I/C No. ______________ Date of Birth: _____________________ Age: ______________ Sex: M*/F* Address: ________________________________________________________________________ Contact No: ____________________ (H) ____________________ (O) _____________________(HP) Email: _________________________________________________________________________
INDEMNITY CLAUSE I _______________________________________ I/C No. _______________ agree to participate* / let my child/ward participate* in the above events to be held on Sunday, 13th September 2009 at Safra, Tampines. I shall not hold the organiser responsible for any mishap, injury, damage or loss arising from their participation in the event. _________________________________________ Signature of Applicant/ Parent/Guardian * Delete which appropriate
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