Indication of Interest Form for RG International Tours/ Camps/ Clinics

INDICATION OF INTEREST FORM

For competitions/ camps/ clinics
Athlete Details
Indication of Interest for the "Event"*
Please select Event from the drop down list
Full Name*
Date of Birth*

YearMonthDay
Date
Passport No.*
Passport Date of Issue*

YearMonthDay
Date
Passport Date of Expiry*

YearMonthDay
Please ensure at least 6 months validity of Passport before the selected event.
Mobile No. *
Please indicate mobile number of legal guardian for athletes below 21.
Email Address of Athlete*
Email Address of Athlete*
Please indicate your discipline*

Rhythmic Gymnastics
Parent/ Guardian Details
Name of Parent/ Guardian*
Contact No. of Parent/ Guardian *
Email Address of Parent/ Guardian*
example@example.com
Email Address of Parent/ Guardian*
Declaration
By submitting this Indication of Interest, I confirm that I (or on behalf of the entrant), hereby agree and declare that*

I have read and understood thoroughly the Selection Policy for the "Event" and consent to my/ my child's/ my ward's participation in the Qualification and Selection Process (if any).I will ensure that all costs associated for the "Event" (if any) will be paid for in full prior to the departure date (failure to do so will result in my/ my child's/ my ward's withdrawal from the "Event").I will abide by all the requirements as stated in the Selection Policy (if any) and Singapore Gymnastics policies (failure to do so will result in my/ my child's/ my ward's withdrawal from the "Event").I will not hold Singapore Gymnastics responsible for any loss of life or injury to person, or loss or damage to property of goods whatsoever and howsoever occasioned at the "Event".In an emergency, permission is granted to Singapore Gymnastics to seek medical attention for the entrant as it may deem necessary at my sole expense.I consent to my/ my child's personal data being collected for the purposes of arranging overseas travel.
Signature of Athlete *

Clear
Signature of Parent / Guardian for Athletes below 21 years old.

Clear
Should be Empty:

Athlete Details

Parent/ Guardian Details

Declaration