[  Green & White   Programme]Registration Form
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Name of Participant  *
Gender  *
Age 
 *
Date of Birth *
MM
/
DD
/
YYYY
Your Mobile Number *
Your Ethnicity *
Height (cm) *
Your Living District *
Emergency Contact information (Name) *
Emergency Contact information (Relationship) *
Emergency Contact information (Contact No.) *
Have you been injured/problems of bones/muscles/joints? *
Are you under any medication or treatment? *
Any health issues, illness or allergies? If yes, please state. 
 *
I am aware of and agree to undertake possible risks of loss or injury or damage associated with the activities. The participant agrees to observe and abide by the safety rules and regulations of LINK Centre, and agrees to take measures to minimize possible loss or injury or damage to the self or others. *
Required
I agree to give permission to LINK centre to use my privacy information for contact, promotion and evaluation purposes. *
Required
LINK Centre has the right to take photo or video of activities for the purpose publicity and course promotion. *
Required
Which sessions will you attend?  *
Required
In case of any dispute, the decision of LINK Centre  shall be final. *
LINK Centre do not have the right to look after the belongings of the participants. All participants  understand and agree to surrender the rights of legal and financial claims upon the loss, injury or damage associated with activities.  *
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