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CLIMB X 2010 Registration

Form
Temasek Junior College Climbing Competition
8th and 9th May
Please return this form by fax (6442 8762) or email (deskao@gmail.com), and make
payment no later than 25th April 2010.

Name of School/Institution:

Name of Coach/Teacher-ic:

Contact No: Email:

Women [ Inter-JC / Inter-Varsity ]*

Singlet
NRIC/ Contact
Name Email Size
Passport No.
S/M/L

Men [ Inter-JC / Inter-Varsity ]*

Singlet
NRIC/ Contact
Name Email Size
Passport No.
S/M/L

* delete accordingly

Temasek Junior College | 22, Bedok South Rd, Singapore (469278) | Tel: 6442 8066 Fax: 6442 8762
I, NRIC/Passport ,accompanying *coach/teacher-ic,
declare that all particulars are correct and hereby agree to abide by all rules and regulations of
the competition. I am aware that my students will be participating at their own risk and that
the organiser will not be liable for any injuries sustained, death or loss/damage to personal
property during the competition.

Signature Date

Temasek Junior College | 22, Bedok South Rd, Singapore (469278) | Tel: 6442 8066 Fax: 6442 8762