1st NATIONAL LASALLIAN SPORTS CARNIVAL - ADULT REGISTRATION

1st NATIONAL LASALLIAN SPORTS CARNIVAL 2015

6 JUNE 2015 @ SMK ST. GEORGE, TAIPING (3.00pm - 6.00pm)
ADULT CATEGORY REGISTRATION FORM
FULL NAME: *
School / Alumni *

Address

Street Address
Street Address Line 2
City	State / Province
Postal / Zip Code

E-mail *
Handphone No: *

- Area Code Phone Number
Class of : *
I would like to register for the following sport.
SPORTS (Choose one): *

Basketball Futsal 5-A-Side 100 m (individual)
TUG-OF-WAR: *

YES NO
CLICK ON SUBMIT BUTTON BELOW TO REGISTER ONLINE.

PRINT A COPY FOR YOUR OWN REFERENCE
Should be Empty: