World Heart Day 2022_ Les Mills Sh'bam Registration Form

Please fill the registration form below to join the Les Mills Sh'bam by PEAK Fitness during our World Heart Day 2022" Campaign

Venue: Straits Quay, Straits Court

Date: 25th September 2022

Time: 10.00 am – 10.45 am

Trainer Information:
Raymond Saw Kah Hooi
- FITM Certified Fitness Practitioner
- FITM Certified Fitness Instructor
- Australian Strength & Performance Certified
- Les Mills Instructor (BodyPump, Body Combat, Body Step, Grit and Sh'bam)

Name

E-mail

Phone Number

xxx-xxxxxxx

Gender

Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry

Participants are expected to attend on time. Any lateness will not be responsible by the organizer. Dance is as an active engagement as any sport, and whilst every effort is made to avoid them, injuries can happen. The organizer accepts no responsibility for injuries sustained. We ask for full rights to use the images resulting from the photography/video filming, and any reproductions or adaptations of the images for fundraising, publicity or other purposes to help achieve the organizer’s aims. This might include (but is not limited to), the right to use them in their printed and online publicity, social media, press releases and funding applications. The organizer will not disclose your contact information to third parties except where the law allows or requires, or where you have given permission to do so.

Remarks