Registration

Applicant Name *

NRIC / FIN *

Gender *

Male

Female

Date of birth (ddmmyyyy) *

Select Wushu Class *

No. of siblings (for applicants below age 16)

Parent or Guardian to contact (for applicants below age 16)

Relationship to applicant

Residential Address

Postal Code *

Mobile Number *

Home or Office Number

Email Address (Required for E-billing and Login)

Family income bracket

Medical conditions or past injuries? (Asthma, skin allergies, broken right arm, etc)

Prior martial arts experience or other sports experience? (Tae-kwondo, basketball, wakeboarding, etc)

How did you hear about us?

Referral from friend / relative

Internet search

Brochures and flyers

Magazines and newspapers

Roadshows and performances

Others...

Kindly elaborate the above (Referrer's name, which search engine, which ad, which performance, etc)

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