VERTICAL CHALLENGE 2016 by Hakka Youth JB
Date 日期 ：19th march 2016
Event Organizer 主办单位 ：新山客家公会青年团
Venue 集合地点 ：Austin Heights Water & Adventure Park
Time 集合时间 ：6:30am
Deadline 截止日期 ：12th march 2016
Name *
中文姓名
IC no. 身份证号码 *
Contact number 联络号码 *
Email 电邮 *
Address 地址 *
Emergency Contact 紧急联络人 *
Full name & Contact number 全名和联络号码
 参与组别 *
Category Selection (Public & Professional group must be above 9 years old)
T-shirt Size (Measurement for chest) *
Bulk Purchase 团购
For bulk purchase, kindly fill in your friends name, IC no., contact number & T-shirt size at the box below  团购者必须把你的朋友的名字，身份证号码，联络号码以及衣服尺码呈上。
Payment Method 付款方式
Please transfer the money into the Public Bank Account stated below and within the same day, write down your name, IC No. and contact number together with the bank in slip email to jbhakka.youth@gmail.com 【Email Title as “Vertical Challenge Registration"】

请把钱汇入以下户口，同时把名字，身份证号码与电话号码写上，并在当天內将资料连同bank in slip一起email至 jbhakka.youth@gmail.com【标题请注明 “Vertical Challenge Registration"】  

Account Number 户口号码:
PBB Account No.: 3198851530
Account Holder Name: Bonnie Kok/ Kow Shu Wen/ Low Chan Shin
Term & Conditions
The participations have to complete an appropriate registration fully and truthfully with accurate personal & emergency contact details filled in order to participate in the event. The organizer will not take any responsibility in the event of an accident,injury or death which may arise before, during or as a result of participation in Vertical Challenge.

参赛者须确保以上资料正确。在参与活动之间，所发生的任何事故，受伤，死亡，财产损失的任何原因和风险，将由参予者自己承担责任。主办单位无须付上任何责任。

健康申报  Declaration on health conditions *
请选择若 “有” 此疾病  Please tick  if you "have" the followings:
Required
Please tick that you accept on these terms and conditions stated by the organiser.请打钩如果你接受以上规则和条例。主办当局保留一切更改的权利。 *
FAQ Hotline
For any inquiries, please feel free to contact the following person in charge  欲知更多详情，请联络：

Bonnie            : 017 3331187
Yong Liang     : 012 4441187
Philip              : 016 5551187
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