Pet Lovers Junior Club - Activity

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Registration Form

Select the number of kids:

Kid #1:

Full Name as in Birth Cert/Passport Date of Birth (DD/MM/YYYY) Gender

Male Female

E-mail Address

Kid #2:

Full Name as in Birth Cert/Passport Date of Birth (DD/MM/YYYY) Gender

Male Female

E-mail Address

Kid #3:

Full Name as in Birth Cert/Passport Date of Birth (DD/MM/YYYY) Gender

Male Female

E-mail Address

Full Name as in NRIC/FIN/Passport Date of Birth (DD/MM/YYYY) Gender

Male Female

Relationship Mobile Phone No E-mail Address

I am the parent or guardian of the child. I agree and give permission for the child's participation in Science & Cats.

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