Inno camp The Club Bandar Utama Forms

REGISTRATION FORM

PLEASE REGISTER MY CHILDREN FOR THIS INNO CAMP Children Name 1: Children Name 2: Children Name 3: Gender : M / F Gender : M / F Gender : M / F Age: ________ Age: ________ Age: ________

Parent / Guardian : Address: Tel. No: Email: Special instruction(s) concerning your child (Please state allergies if any): Mobile No:

I agree to abide by Brain & Mind Management’s Rules and Regulations which may be amended from time to time without prior notice. I understand and accept that they apply upon the enrolment of my child.
Building the next generation of Technopreneur

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