High Quality
Open the downloaded document, and select print from the file menu (PDF reader required).
REGISTRATION FORM
PERSONAL DETAILS
NameI/C Number AgeGender
Male
|
Female
OccupationInstitution /WorkplaceExperience in thePerforming Arts
CONTACT DETAILS
Mobile Number House Number E-mailMailing Address
PARENT’S CONSENT (Members below the age of 18)
I,
_________________
(parent/guardian) of
_______________
, provide him/her the permission to participate inthe activities organized by the Green Leaf Theatre House.
______________
Name:I/C No.:
APPROVAL FROM ACADEMIC INSTITUTION (Students)
Disclaimer
I,
__________________
the
_______________
(Director/Principal/ Vice Principal/ Chancellor) of
_______________
(Institution), provides the above student with the permission toparticipate in the activities organized by the Green Leaf TheatreHouse.
______________
Name:I/C No.:
DISCLAIMER
It is hereby acknowledged that all the details provided above are correct andlegitimate. I understand and agree that I would need to submit an annualmembership fee of RM50 in order to be a registered member of the Green Leaf Theatre House. The Green Leaf Theatre House will not be responsible for anycasualties that I may face whenever I participate in its activities howsoever caused.
______________
Name:I/C No.:Date:
Add a Comment