I want to be a friend of Club ACE!
By filling up this form, you agree to be a friend of Club ACE, be given access to PACE @ Potong Pasir and Marsiling :D
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Full Name (As Per NRIC) *
NRIC (Last 4 Characters) *
E.g. 619Z
Race *
Religion *
Gender *
School *
Birthdate *
MM
/
DD
/
YYYY
Email
Mobile Number *
Name of Parent/Guardian *
Please note that your parents will be contacted
Parent/Guardian's mobile number *
Address (Blk, Street Name, Unit Number)
E.g. Block 123 Marsiling Road #01-123
Postal Code
Centre *
Personal Data Consent *
I fully understand and agree that the personal information which I have provided or are collected during C3 activities may be collected, used or disclosed for the purposes of: (a) Engaging me regarding C3 programmes, services and activities; (b) Record keeping, storage, audit and promotion of C3 and her programmes; (c) Inclusion in a publicity video, brochures and other collaterals. Information collected may include photographs, audio recording, videos or other media. I trust that the information will be used strictly for the purposes stated. I agree for C3 to contact me for purposes relating to C3 programmes, services and activities and maintaining the ongoing relationship with C3 until/unless I state otherwise.
Thanks for submitting the form :) Click submit at the end and you're good to go!
Is Client *
Account Name *
Department *
Programme *
Status *
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