Youth Camp Registra
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Mount Carmel Youth Camp 2007 REGISTRATION FORM PERSONAL PARTICULARS Name
Sex: *Male / Female
Address D.O.B
Age
I.C. No.
Nationality
Mount Carmel BP Church *Member/Non-Member
CONTACT (H)
(HP)
Email
Relation
Contact No.
NEXT OF KIN Name
INDEMNITY To be completed by Applicant (above 18 years old) or Parent/Guardian of applicants below 18 years old I, ______________________, give consent for *myself/child/ward____________________ to participate in the youth camp 2007. I hereby indemnify all the organizers and Mount Carmel BP Church against all claims with respect to any death, kidnap, injury, loss of damage whensoever and howsoever caused which may arise from *my/my child/my ward’s participation in the youth camp and its associated activities. Signature:______________________
Date: ____________
* Delete whichever is not applicable
CLOSING DATE: 2nd December 2007 CAMP FEES: S$45 Submit form & fees at the registration booth @ fellowship hall.
Sex: *Male / Female
Address D.O.B
Age
I.C. No.
Nationality
Mount Carmel BP Church *Member/Non-Member
CONTACT (H)
(HP)
Relation
Contact No.
NEXT OF KIN Name
INDEMNITY To be completed by Applicant (above 18 years old) or Parent/Guardian of applicants below 18 years old I, ______________________, give consent for *myself/child/ward____________________ to participate in the youth camp 2007. I hereby indemnify all the organizers and Mount Carmel BP Church against all claims with respect to any death, kidnap, injury, loss of damage whensoever and howsoever caused which may arise from *my/my child/my ward’s participation in the youth camp and its associated activities. Signature:______________________
Date: ____________
* Delete whichever is not applicable
CLOSING DATE: 2nd December 2007 CAMP FEES: S$45 Submit form & fees at the registration booth @ fellowship hall.
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