ITC SNCS/SEAFC - Sport Climbing Instructor Training Course
ITC
Singapore Sport Climbing and Mountaineering Federation registered Instructor: Cat 2  
Instructor: Mr Derek Yuen
Courses Fees: SGD$780/person, inclusive of  registration fee 
Payment by Bank Transfer: PayLah or Paynow to 96250587 or POSB 008226113

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Email *
Name *
Mobile number *
IC/FIN or Passport Number (last 4 digits & alphabets only i.e. Sxxx1234E or Gxxx1234A) *
As per Singapore Sport Climbing & Mountaineering Federation's regulations, you are required to hold an SNCS Level 3 Certificate before you can proceed with ITC Course. Are you SNCS Level 3 Certified? *
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Emergency Contact Person Name & Relationship *
Which date of the course are you intending to attend?
Emergency Contact Number *
I acknowledge that there are significant elements of risk associated with the sport of rock climbing, bouldering, fitness training regimes, and other similar activities provided by RockerFellas Adventure Pte Ltd. I further acknowledge the nature and extent of the risks inherent in climbing, including but not limited to injuries and death resulting from falling and crashing into the walls or other obstacles, falling climbers or dropped items, rope abrasions, entanglement, equipment failures, and injuries and death resulting from not following proper and customary safety procedures or from the negligence of other climbers, and participants. I acknowledge that the risks listed here are not inclusive of all possible risks associated with the activity and that there are other unknown and unanticipated risks that may result in injury, illness or death. In consideration of, and in recognition of the inherent risks associated with the activity, I agree, on behalf of myself, my/our heirs, representatives, successors, executors, administrators and assigns, to hereby release, waive, discharge and agree not to sue the instructors, and company, on account of any personal injury, property damage, death or accident of any kind, arising out of or in any way connected with the activity, and I agree to indemnify and hold harmless the persons or entities mentioned in this paragraph from any and all liabilities or claims made by other individuals or entities as a result of my actions. I declare that all information given in this form is true and correct to the best of my knowledge and belief and note that the data collected above will only be used by RockerFellas Adventure Pte Ltd in accordance with their Personal Data Protection Policies. *
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