LITTLE MANDARINS LANGUAGE CENTRE PTE LTD Block 71, Loewen Road, #01-03/04,Singapore 248847 p +65 6473 8377 w www.little-mandarins.com Co. registration no. 200617032M Participant’s Particulars (for 4 to 9 years old only) Full name: ______________________________________________ (English) __________________________________________ (Chinese, if any) Sex: Male / Female Birth Cert or Passport No.: __________________________ Date of birth: ______________________ Age : _______ (mandatory for insurance coverage) School: _________________________________________________________________________________________________________________ Allergies: No / Yes, please indicate : ________________________________________________________________________________________ Parent’s / Guardian’s Particulars Parent’s / Guardian’s Name: ______________________________________________________ Relationship to child: _________________________ Address: ________________________________________________________________________________________________________________ H/phone (1) : __________________ H/phone (2): __________________ Home: __________________ Office: __________________ Email: __________________________________________________________________________________________________________________ (Please tick [√] your preferred week. You may join multiple weeks.) 1 2 3 29 Jun – 3 Jul 6 - 10 Jul 13 - 16 Jul No. of days 5 5 4* 4 5 6 20 - 24 Jul 27 – 31 Jul 3 - 6 Aug 5 5 4* Week (√ √) Dates Fees (Nett) Sibling (Nett) Time / Duration $500 $500 $400 $460 $460 $370 9.45 am – 2.15 pm (4.5 hrs) 9.45 am – 2.15 pm (4.5 hrs) 9.45 am – 2.15 pm (4.5 hrs) $500 $500 $400 $460 $460 $370 9.45 am – 2.15 pm (4.5 hrs) 9.45 am – 2.15 pm (4.5 hrs) 9.45 am – 2.15 pm (4.5 hrs) Pickup / drop off venue: 71 Loewen Rd, #01-03/03, S248847 Transport: Campers to arrange own transport to Little Mandarins * Group Discount 10% off per child if 3 signup together for the same week * group discount not applicable to 4-day camp Themes Farm Animals & Pets Multi-racial Singapore! Four Seasons Farm Animals & Pets Multi-racial Singapore! Four Seasons Closing Date (for discount scheme): 8 June 2015 (Monday) 17 July Hari Raya Puasa & 7 Aug SG50 Holiday (no camp) Terms & Conditions • Signup is for the entire week. There will be no replacement if the participant is absent. • There will be a minimum of 2 native Mandarin teachers/facilitators throughout the camp. • Depending on weather and timing, programmes may be substituted or postponed. • Fees include mandatory insurance and all materials. GST absorbed! • Fees paid are non-refundable and non-transferable. • Multiple discount schemes are not applicable. • Little Mandarins Language Centre Pte Ltd shall NOT be liable for any loss, damage, injury or any mishap whatsoever that may occur during the duration of the programme. • In the event of any emergency, Little Mandarins is authorized to arrange such medical attention for my child as may be reasonable and available in the circumstances. • Little Mandarins Language Centre Pte Ltd and its suppliers / partners may use photographs and/or videos of children registered for this programme. • For any details, please contact Ms Jaime Koh / Ms Dorothy Tan at 6473 8377. • Payment by cash or cheque to “Little Mandarins Language Centre Pte Ltd”. • Minimum 8 campers to start, maximum 20 campers. • Little Mandarins reserves the right to cancel camps for whatever reasons and will issue full refund. • Campers are to bring their own snacks/lunch, sports shoes, water, socks and change of clothes. No sandals or slippers please. Enquiries – Tel : 64738377, Email : [email protected] www.little-mandarins.com 1 LITTLE MANDARINS LANGUAGE CENTRE PTE LTD Block 71, Loewen Road, #01-03/04,Singapore 248847 p +65 6473 8377 w www.little-mandarins.com Co. registration no. 200617032M Confidentiality, Security Policy and the Personal Data Protection Act (PDPA) In compliance to the Personal Data Protection Act (PDPA), it is our school’s commitment to protect your personal data. Our school will use the personal data that it collects only for the purposes intended. In the event that we intend to use data provided for other purposes beyond the original intent of data collection, we will seek the written permission from parents/guardians before using the data unless required for third party services or requested by government agencies. Once your personal data is collected, to access, change or cancel your data, please contact admin@little- mandarins.com. Personal data in Singapore is protected under the Personal Data Protection Act 2012. The School’s policies and procedures have been reviewed to comply with the PDPA. If you have any queries regarding PDPA or your personal data, please email the Data Protection Officer: [email protected]. I consent to the terms and conditions and agree to abide by them. ___________________________________ Parent’s / Guardian’s Name & Signature _______________________ Date Enquiries – Tel : 64738377, Email : [email protected] www.little-mandarins.com 2
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