Parkour at the Belt Registration Form

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This form is meant to capture details of the participant of the programme.

Email *

Programme(s) you have signed up for *

Please select all ģ apply. You may select more than one.

Open Session

Lion City Parkour Carnival (11 Dec)

December Parkour Jam & Style Comp (18 Dec)

Beginner Parkour Workshop (9 Dec, 3pm)

Beginner Parkour Workshop (16 Dec, 3pm)

Beginner Parkour Workshop (17 Dec, 3pm)

Beginner Parkour Workshop (23 Dec, 3pm)

Beginner Parkour Workshop (24 Dec, 3pm)

Intro-to-Parkour Specialty Class (5 - 8 Dec)

Intro-to-Parkour Specialty Class (26 - 29 Dec)

Somerset Camp (19 - 23 Dec)

Other:

Required

Full Name (as per NRIC/FIN) *

Medical conditions or past injuries *

This is to allow our programme facilitators to be aware of it and plan accordingly. If none, type "NA".

Emergency Contact Name *

In case of emergency during the programme, we will get in touch with this person.

Emergency Contact Number *

Acknowledgment of Risks and Liability Waiver
*

By participating in this programme, I warrant and represent that I am physically and mentally able to participate and have no physical and medical condition that would endanger my life or make my participation unsafe or dangerous to me or others. When in doubt, I will always consult my doctor before participating.

I acknowledge that the risks of injury in this programme is inherent, and it is of utmost importance for all attendees to take caution and exercise risk management in any of my activity. I will take sole responsibility for any of the injuries or any consequences as a result of my participation. I confirm that I will not hold the organiser, Parkour (Singapore), and their partner(s) responsible for any damages or injuries incurred during my participation.

Agree

Required

Media Release
*

I hereby confirm that I agree to be filmed and/or photographed during the programme. I hereby consent to give Parkour (Singapore) the permission to copyright and use, edit, republish photographs, audio and/or video recordings taken of me during the programme ('Materials') on all relevant media platforms for publicity purposes. I hereby transfer complete ownership of said Materials to Parkour (Singapore) and their partners, and completely waive and release any claims or compensation for the usage of these Materials.

Agree

Required

We will require additional details from you to get to know you better

All submitted details will be kept confidential, and will be used for the purpose of programme analysis by our partner, National Youth Council.

Last 4 characters of NRIC/FIN *

e.g. 123X

Sex *

Race *

Residential Status *

Year of Birth *

e.g. 1986

Mobile Number *

For Singaporean numbers, enter 8-digit mobile number, without SG country code. For non-Singaporean numbers, enter the full mobile number with the country code.

Postal Code *

6-digit postal code

Occupational Status *

Preschool / Primary Student

Secondary Student

ITE Student

JC Student

Poly Student

National Service Full-Time

University Student

Full-Time Employment

Part-Time Employment

Self- Employed

Unemployed

Retired

Other:

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