Participant Registration for Lifeskill Workshop (via Zoom)

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Title: Peer Power
Speaker: Ms Alexis Lion
Date: 4 June (Saturday)
Time: 10.30am - 12pm (10-13yrs old)
Time: 1.30pm - 3pm (14-16yrs old)

Declaration:

I am filling up this form for myself with my parent/guardian's consent

I am a parent/guardian filling up this form on behalf of my child/ward

Clear selection

Select the workshop the student will be attending

Time: 10.30am - 12pm (11-13yrs old)

Time: 1.30pm - 3pm (14-16yrs old)

Youth's Information

Youth's Full Name (as indicated on the NRIC/ID card) *

Youth's Gender

Female

Male

Clear selection

Youth's Age (as of last birthday in 2021) *

Youth's School Name *

Youth's Education Level *

Youth's Contact Number

Parent/Guardian's Information

Parent/Guardian's Full Name (as indicated on the NRIC/ID card) *

Parent/Guardian's Mobile Number *

Are you a resident of Punggol?

Yes

Clear selection

Parent/Guardian's consent is given to the student to attend the Lifeskill workshop *

Yes

Indemnity *

Note to Parent/Guardian: I acknowledge that HOPE worldwide (Singapore) has taken all necessary procedures to ensure the online safety of my child for this online workshop. HOPEwwS will not be held responsible or be liable, whether directly or indirectly, for any damages or loss caused or sustained by the user, for their participation in this webinar.

Required

Personal Data Consent

HOPE worldwide Singapore is committed to handling your personal data with care and privacy under the Personal Data Protection Act (PDPA). I consent to the management of my personal data as stated in the Privacy Notice published on HOPE worldwide Singapore website. I also consent to the use of photos, interviews and recordings taken during events that I have attended for publicity purposes. *

Acknowledged

Required

Thank you for completing the registration form. You will receive a confirmation email with the Zoom details soon.

For any queries or clarifications, please contact

For Senior Engagement programmes and Outreach to Punggol Blocks: Adrian Ng: 96281148 / adrian_ng@hopewwsea.org
For Family Bonding & Youth Empowerment programmes: Anne Tan: 97986335 / anne_tan@hopewwsea.org
For Media and General Enquiries: Joyce Tan: 93803004 / joyce_tan@hopewwsea.org

For more details, contact:

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