Sumlife Youth Development Centre
YouthLink Specially Invite You to join our
“Sunlife Camp 2002 ”
A 3D2N Camp @ STADA, Jurong Park
Registration & Consent Form
Name of Child : ______________________________________ Age : ________ Gender : M / F
Religion : ________ School : __________________________________________ Level : __________
Address : ___________________________________________________ Postal Code. : _____________
Parent / Guardian's Particulars :
Name : ________________________________________ Relationship to Child: ________________
Contact No. : ________________ (H) ________________ (O) ________________________ (Pg / HP)
Have you/your child ever used our Centre's services before (for e.g., counselling, public talks, children's workshops, youth's workshop)? Yes / No (If yes, please state)
Consent Form ( to be completed by Parent / Guardian only)
I, ___________________________________, __________________, being _________________ of
( Full name of *Parent / Guardian ) ( NRIC No. ) (Relationship)
____________________________________ hereby give consent for *him / her to participate in the
(Full name of *Child / Ward)
“ Sunlife Camp 2002 ”. I understand that the Organiser is not liable for any injury or loss whatsoever arising from my child's / ward's participation in the above activity.
Signature of *Parent / Guardian Date
1. Cheques should be made payable to “Shan You Counselling Centre”. Please indicate your name as well as your child's name at the back of the cheque and send this form together with your cheque to:
Sunlife Youth Development Centre, Blk 41, #01-277, Sims Drive, Singapore 380041.
2. Registration is strictly on a first-come-first-serve basis and is confirmed only upon receipt of registration form and payment.
3. Registration forms and payment must reach us by 15/11/02. Forms and payments received after 15/11/02 will not be entertained.
4. Cancellation : No refund will be given for cancellations.
For Official Use Only:
Payment by *cash / cheque Cheque no.(if paid by cheque) : ___________
Amount received : __________ Receipt no. : ___________ Date received : __________
* Please delete accordingly.