Eureka Archery Lesson Registration Form
Full Name *
Identification Number (MyKid/MyKad/Passport No.) *
Email *
Phone number *
Date of Birth *
MM
/
DD
/
YYYY
Nationality *
Your blood type (in case of emergency) *
For your safety, do you have any medical conditions to state? (Allergies, asthma, heart disease, etc) *
Describe your level of experience in archery. *
Your archery category
Clear selection
Preferred archery lesson day. *
Required
Preferred archery lesson time. *
Your preferred archery location. *
For emergency purpose, kindly state the name of contact person *
Your relationship with contact person. *
Emergency contact number (contact person). *
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