Returning Registration Form – Easy Re-Registration

Care2Run Returning Registration Form

Thank your for joining us again. Fill in the details below to complete your returning registration for the Care2Run Weekly Programme. This form is for participants who have joined Care2Run before and wish to register again.

CARE2RUN

Registration Form

Section 1

Programme Details

Tell us which programme you are joining and select your preferred date. You may add up to 5 programmes.

Programme 1

Programme Name *

Preferred Date *

Programme 2

Programme Name *

Preferred Date *

Programme 3

Programme Name *

Preferred Date *

Programme 4

Programme Name *

Preferred Date *

Programme 5

Programme Name *

Preferred Date *

Section 2

Participant Information

Please update the participant and caregiver information below.

● Participant Details

Participant's Preferred Name *

Participant's Full Name (as per IC / MyKid / Passport) *

Date of Birth *

Age (Current Year) * Automatically calculated from the participant's date of birth.

● Caregiver / Emergency Contact

Caregiver Preferred Name *

Caregiver / Emergency Contact Mobile / WhatsApp Number *

Caregiver Email Address * A registration confirmation will be sent to this email address.

● General Health & Safety Agreement *

I agree to help keep everyone safe and to withdraw the participant from the programme when the participant or accompanying family member is infected by, or has had close contact with, a contagious disease.

Section 3

Optional Update - Getting to Know Your Child

Help our coaches continue supporting and celebrating your child's development.

We would like to learn a bit more about your child:
What are your child's current interests, motivation, and strengths that you wish us to celebrate during the session?

1. Interests

2. Motivation

3. Strengths

Section 4

Payment

Please select your payment method and upload your payment receipt.

Payment Method *

QR CodeBank Transfer

DuitNow QR

Touch 'n Go QR

Name of Organisation: Wildpac Asia PLT (LLP0005833-LGN)

Bank: CIMB Bank

Account Name: Wildpac Asia PLT

Account Number: 800-783-044-8

Please use the participant's full name as the transaction reference.

Payment Receipt *

Please upload your payment receipt after completing payment.

Section 5

Indemnity Form & Digital Signature

Please read and accept the full Care2Run & XD School Programme Indemnity Form, then complete your digital signature.

⚖️ Care2Run & XD School Programme Indemnity Form

The agreement covers participation and risk, health disclosures, emergency first aid and medical treatment, emergency contacts, personal data processing, youth protection, brand and intellectual-property terms, photographs and recordings, participant privacy, and insurance arrangements.
The online acceptance below applies to the complete indemnity document, not only to this summary.
I agree to all the terms stated on the Care2Run & XD School Indemnity Form →

I confirm that I have opened, read, understood, and agree to the full Care2Run & XD School Programme Indemnity Form, and I digitally sign this registration as the person completing the web form.

● Digital Signature

Full Name of Person Completing This Form *

Date Signed *

Thank you,

Prem, Principal Coach

Personal: 019-282 0088

Care2Run / XD School: 010-650 0838

www.thexdschool.com

* Indicates a required field. Optional fields may be left blank.

Care2Run Returning Registration Form

Registration Form

Programme Details

Participant Information

● Participant Details

● Caregiver / Emergency Contact

● General Health & Safety Agreement *

Optional Update - Getting to Know Your Child

We would like to learn a bit more about your child: What are your child's current interests, motivation, and strengths that you wish us to celebrate during the session?

Payment

Payment Method *

Indemnity Form & Digital Signature

⚖️ Care2Run & XD School Programme Indemnity Form

● Digital Signature

We would like to learn a bit more about your child:
What are your child's current interests, motivation, and strengths that you wish us to celebrate during the session?