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Indemnity / PDPA Form 
Date: Every Wednesday 
Time: 10.30am to 12pm
Venue: Fitness Studio
Table Tennis CSR Program for Parkinson's & Dementia 
Bounce Back to Life – Table Tennis for a Stronger Mind & Body
Name *
Email *
SSC Membership Number  *
Age (As per 2025)  *
Phone number
(Indemnity / PDPA Form)
I declare the information provided above is correct.

■ I hereby agree that I will not hold Singapore Swimming Club, its Organising Committee, their appointed staff/ officials responsible in any way for any mishaps, injuries or loss of life or, for loss or damage to any property howsoever caused arising out of or in the course or in connection with the above activity; and I shall indemnify the Singapore Swimming Club, its Organising Committee, their appointed staff/ officials from and  against all actions, proceedings, liabilities, claims, damages, costs and expenses which may be brought by or  asserted against them by any person, persons, corporations or the like in connection with the same.

■    Photographs of the participants may be used for publicity purposes in the club magazine. By submitting this form, I understand and give the Singapore Swimming Club permission to use the photographs, contact number and email for the above mentioned purpose.

■     I agree to allow the Club to use WhatsApp as communication platform for this program only. 

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