PARTICIPANT REGISTRATION FORM

 
 
Thank you for your interest in Project X-pired! The closing date for registration is 23th September 2016 till 23:59PM.
 
 
   Select Competition Category:
Junior Category (Age 5 – 12)
Student Category (Age 13 – 21)
Open Category (Age above 21)
 
  Participant Contact Details (All Fields Mandatory)
       
  Entrant Name :
  Gender : Male  Female
  Nationality :
  Email :
  Contact No. :
  Home Address :
       
  Organisation (Optional)
       
  School (Compulsory for Student Category only) :
 
  Level (Compulsory for Student Category only) :
 
  Parent/Guardian's Full Name (Compulsory for Junior and Student Category) :
 
  Parent/Guardian's Telephone No (Compulsory for Junior and Student Category) :
 
  How would you like to pay?
 

Registration fees of $30.00 can be paid by credit card. The registration fees include the cost of the mannequin and materials for the art piece.

 
  By Credit Card / Debit Card
 
  Acknowledgement & Terms of Agreement:
 
 

Please read the Terms of Agreement before selecting the relevant checkboxes below.

I CERTIFY THAT I AM 18 YEARS OF AGE OR OLDER AND I HAVE READ, FULLY UNDERSTAND AND AGREE TO THE TERMS OF THIS AGREEMENT. I SIGN IT VOLUNTARILY WITH FULL KNOWLEDGE OF ITS SIGNIFICANCE

I CERTIFY THAT I AM BELOW 18 YEARS OF AGE BUT I HAVE ALREADY SOUGHT THE CONSENT OF MY PARENT/ GUARDIAN TO JOIN THIS COMPETITION. I AGREE TO THE TERMS OF THIS AGREEMENT.