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SANDSATIONAL RACE 2009

TIONG BAHRU CC YOUTH GROUP


CLOSING DATE: 8th May 2009, Friday 1200hours OFFICIAL REGISTRATION FORM
Registration Fee:
PAssion Card Holders: $75/= per team Non-PAssion Card Holders: $85 per team ** EARLY-BIRD DISCOUNT: $60 per team (PAssion Card Holders Only)
Registration Venue: Tiong Bahru Community Centre, 67A Eu Chin Street Singapore 169715 or fax to 62210034 (Att. Mr. Teo)
Registration form without signatures will be rejected without notification. Serial No. of PAssion Card (if applicable):
Please tick (√ ) one below:
Name of Team: No. of Indemnity Form: ________ Secondary Level JC/Poly/ITE Level

Contact Number Residential Address T-Shirt


Name (as in NRIC)
Name of School/Institution Sizes Signature
Position NRIC No. Blk Street & Unit No.
Postal
S/M/L/XL
Email Address Code.

1. Participant
(Leader)

2. Participant

3. Participant

4. Participant

5. Participant

TEAM CAPTAIN’S DECLARATION Payment Mode: Cash or Cheque


I agree to send a team to SANDSATIONAL RACE 2009. I shall not hold the organizer(s) or Cash payment is to be made at Tiong Bahru CC
the Peoples’ Association responsible for any loss of life or injury sustained arising from the Cheque Payment payable to “Tiong Bahru CC Youth Group” and
activity. My team shall be responsible for replacement of damaged bicycle equipment that I mail it to: 67A Eu Chin Street
borrowed from the organizer(s). The team will abide by the Rules and Regulations, maintain Singapore 169715
good conduct, and play in the spirit of fair play and sportsmanship.
Please note that payment must be made within 7 days upon
submission of registration form.
……………………………………………… …………...………………… <Please write your Team’s Name and your return address on the back
Name of Team Captain Signature & Date of your envelop>