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The Boys' Brigade in Malaysia
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Kuala Lumpur State Council
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JUNIOR LEADERSHIP TRAINING CAMP (JLTC) 2026
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Consent Form
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Please read the following instructions carefully.
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1. Every participant is required to complete a form each. Use BLOCK LETTERS.
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2. There will be no refund in case of participant's cancellation but replacement is allowed.
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3. The organising committee reserves the right to decline any application found not suitable and fees will be refunded.
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4. All signed and completed forms must be submitted to Mr. Darryn Chiew at darrynchiew@hotmail.com on or before 7 March 2026.
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5. Camp Fee of RM120 is to be paid to the KL State Boys' Brigade account, by COMPANY. Please refer to your Company for payment arrangements.
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PARTICIPANT'S DETAILS
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NAME (as in NRIC or Passport)
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BB COMPANY
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BB RANK (E.g. JR / AJL / JL / CL)
GENDER:
Male
Female
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NRIC or PASSPORT NO
RELIGION:
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DATE OF BIRTH
AGE:
years old
T-SHIRT SIZE:
__________________
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TELEPHONE NO
EMAIL ADDRESS:
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MEDICAL CONDITION REQUIRING ATTENTION (IF ANY) : ________________________________________________________________________
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In case of emergency, please contact
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NAME
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RELATIONSHIP
Father
Mother
Others (pls specify)
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TELEPHONE NO.
OFFICE:
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CONSENT & AUTHORIZATION
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I, ____________________________________ hereby permit my child/ward __________________________________________________
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(NRIC: _________________________) to participate in the JUNIOR LEADERSHIP TRAINING CAMP (JLTC) 2026 from 20 to 23 March 2026.
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I authorise The Boys' Brigade in Malaysia, Kuala Lumpur State Council ("KLBB") to full ownership and assignment of rights to use the
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Intellectual Property (hereinafter referred to as "Media") created for and during the JLTC 2026 by the original creator to KLBB.
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The Media may be used in, but is not limited to, publications and newsletters, articles, advertising materials, website, social media
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publications, etc. This includes the printing and any other form of material for educational, informational and promotional purposes.
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I hereby expressly agree to absolve The Boys' Brigade in Malaysia, the Kuala Lumpur State Council BB, its officials, organizers,
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and assignees from any claims or losses arising from any untoward incidents during the said event.
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Signature of parent/guardian
Date
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Name:
Relationship:
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CAPTAIN'S CONFIRMATION
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I confirm that the above participant is a member of my BB Company and to the best of my knowledge, all the particulars are true and correct.
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Company Captain's Signature
Date
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Name:
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