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Swimsafer Swimming Test Registration Form

Particulars of Swimmer


Details of the Test

VENUE: Sengkang Swimming Complex

EVENT DATE: 19-03-2019

SUBMISSION DATE: before 19-03-2019

TEST FEES: GOLD: $60.00
SILVER: $60.00
BRONZE: $40.00
STAGE 3: $40.00
STAGE 2: $40.00
STAGE 1: $40.00
STAGE 1: $40.00

SWIMSAFER SWIMMING STAGES(Please Tick 1):

GOLD(14:00:00)
SILVER(14:00:00)
BRONZE(14:00:00)
STAGE 3(15:00:00)
STAGE 2(15:00:00)
STAGE 1(16:00:00)
STAGE 1(16:30:00)

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INDEMNITY

In this declaration, I hereby agree that I shall indemnify the staff / officials of FITNESS CHAMPS PTE LTD for any claims against damages, loss of personal belongings / valuables, injuries caused during the participation of this test.

I also agree to abide by the terms & conditions as stipulated above, subjected to any amendments from time to time by FITNESSS CHAMPS PTE LTD.

**Fitness Champs Pte Ltd has my permission to use my or my child's photograph publically to promote the school. I understand that the images my be used in print publications, online publications, presentations, websites, and social media. I also understand that no royalty, fee or other compensation shall become payable to me by reason of such use

  By submitting this form, I also agree to abide by the terms & conditions as stipulated above, subjected to any amendments from time to time by FITNESSS CHAMPS PTE LTD.
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