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Sports Challenge 2018 Dodgeball (Mixed)
28th October 2018

DODGEBALL (MIXED)

5 v 5 ON COURT
6 players per team including 1 reserve
Min. 2 guys & 2 girls on court

Registration fees (per team):
Early bird Rate: $50
Standard Rate: $60
Early bird closes on 12th October 2018

Please note that your registration is only confirmed upon payment.
Payment can be made at our booth on 26th September, 9th, 12th and 19th October from 10am – 5pm.

All registration forms must be accompanied with the indemnity forms, printed and filled up, of all registered players upon submission.

The locations of our booths are as follows:
26th September, Nanyang Auditorium
9th October, Nanyang Auditorium
12th October, Nanyang Auditorium
19th October, North Spine (Outside LT1)

Indemnity form
https://drive.google.com/open?id=1JDnfFc9y9gzPycuvdkym-x-71iGi_5sA
LOA form
https://drive.google.com/open?id=1n5xuMobG7ioBSV_yLlXm4Twvm4qYvnqn

Team Name *
Your answer
Team Leader's Name (as in NRIC) *
Your answer
NRIC No. *
Your answer
Course of Study/Year *
Your answer
Gender *
Date of Birth *
MM
/
DD
/
YYYY
Contact No. (Mobile) *
Your answer
Email Address *
Your answer
Blood Group *
Singlet Size *
Captionless Image
Matriculation No./ Staff ID *
Your answer
Medical History (if any)
Your answer
Allergies (if any)
Your answer
Next of Kin Name *
Your answer
Relationship *
Your answer
NOK Contact No. (HP)
Your answer
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