Show Choir & Dance Holiday Programme
Date : 9th - 11th December 2019
Time : 9:00am - 3:30pm
Venue : Cempaka International School, Damansara Heights
19, Jalan Setiabakti 1, Damansara Heights 50490 KL.

Registration Deadline : 3rd December 2019
Fee (include meals) : RM650/-
Email address *
PARTICIPANT
Full Name *
Participant's name according to his/her I.C.
Your answer
I.C. Number *
Your answer
Age Group *
Participants will be divided into 3 groups according to their age.
School *
In which School does he/she study in?
Your answer
T-shirt Size *
For KID sizes, kindly refer to the measurements below. For ADULT sizes, it is XS, S, M, L & XL.
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Allergies/ Medical Condition
Please state, if any.
Your answer
PARENT
Parent/guardian
Name of Parent *
Your answer
Contact Number *
Your answer
MEALS
Snacks and lunch will be provided during the 3-day programme.
Vegetarian
Kindly indicate if a vegetarian meal is preferred.
FEE
The Holiday Programme Fee is RM650 (registration deadline is 3rd December 2019)
Kindly take note that registration is only confirmed after the full payment is made.

We only accept online bank transfers:
Bank account name: Cempaka Performing Arts Company Sdn Bhd
CIMB Account number: 8008131159
Recipient reference: Please state the participant's name.

Kindly e-mail (please indicate participant's name) the payment receipt to: cpac@cempaka.edu.my

Thank you.
Payment Method *
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