Xuan Sports Wushu & Taiji Boot Camp (13 Mar

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Xuan Sports Wushu & Taiji Boot Camp (13 Mar - 17 Mar 2023, 1-4pm)

It is mandatory to fill up this form for your registration. Registration closes on 12 Mar 2022, 2359h. (The word 'programme' used in this form refers to the Xuan Sports Wushu & Taiji Camp.)

Email *

If you have any enquiries, feel free to contact Coach Joseph @ 86972805

I am signing up for:

Please pick ONE location ONLY.

Full Camp $260 nett

13 Mar (Mon) $65 nett

14 Mar (Tue) $65 nett

15 Mar (Wed) $65 nett

16 Mar (Thu) $65 nett

17 Mar (Fri) $65 nett

Bootcamp @ Bestway (HQ)

Bootcamp @ Kallang Wave Mall

Payment Details & Safety Procedures document (PLEASE READ!!)

Full Name of Student *

Student Date of Birth *

YYYY

Student contact number *

Emergency Contact 1 *

Name & Phone Number

Emergency Contact 2 *

Name & Phone Number

Medical conditions for coaches to take note of *

E.g. asthma, allergies etc. Put 'NIL' for no medical conditions.

Acknowledgement

Please check all checkboxes to indicate your agreement to the stated Terms & Conditions. *

I hereby understand that whilst every care will be taken to give safe instruction, I accept full responsibility and consider myself/my child fit to exercise. I understand that by signing this form that I take responsibility for any injuries I/my child may receive and do not hold Xuan Sports and Wellness Pte. Ltd. responsible for any personal loss or injury incurred. I understand that it is my responsibility to inform the instructors of any medical condition that may affect my/my child’s health whilst under their instruction.

In accordance with the Personal Data Protection Act, I hereby consent to my/my child/ward’s personal details (e.g. names etc.)/images/photographs being used by Xuan Sports and Wellness Pte. Ltd. and its sponsors/partners for the purpose of event updates, news & marketing promotions.

I understand that full payment has to be made to Xuan Sports and Wellness Pte. Ltd. before the commencement of the programme in order to secure a place for my child/ward.

I understand that payment made for this programme is non-refundable and cannot be pro-rated if my child is/I am not able to attend all the training sessions.

I will read the linked document on Payment & Safety Procedures Details pertaining to this programme.

I declare that my child is/I am not currently serving Covid-19 Home Recovery Programme (HRP), Self-Isolation or Stay-Home Notice (SHN).

Required

By entering your name below, you are effectively providing your signature, indicating that you agree to the terms & conditions stated above. *

A copy of your responses will be emailed to the address you provided.

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