Event: OUTward Bound Camp 2010

Date: 4th December- 5th December 2010

Venue: Singapore Girl Guides Association Camp Christine Campsite
Registration Fee: $10

REGISTRATION CLOSING DATE: 1

FEBRUARY 2009
• Please submit completed form together with full payment. Registration is confirmed
only upon receipt of full payment.
• Please submit the forms to nvrstop.25@gmail.com. Alternatively, you can mail the
forms to:

Shawn Koh
28 West Coast Terrace
S127237

• Cash and cheque payment are both accepted. Please write the name of your child at
the back of the cheque.
• No refunds will be made for cancellations but transfers are allowed.

Please direct any enquiries to nvrstop.25@gmail.com

1
 OUTWARD BOUND
OUTward Bound Camp 2010 Registration Form

Section 1: Personal Information .

(in BLOCK letters)

Name:

Address: _____________

DOB: Gender: M/F T-shirt size: XS/ S/ M/ L/ XL

Contact (HP): (H):

Email: Religion: _______________________

Emergency Contact

Name: Relationship: Contact:

Medical conditions: Allergies:

Dietary Restrictions: Others:

Section 5: Consent

I, _______________________________________________, parent/guardian of

______________________________, allow my child/ward to attend the OUTward

Bound Camp 2010 from 4th December to 5th December. Whilst I am aware that the event
organisers will do their very best to ensure the safety and comfort of my child/ward
during this camp, I will not hold the organisers,its staff members, or volunteers
responsible for any mishaps or accidents that may occur during the camp.

Signature of Parent/Guardian: Date: