Join Club ACE

January 22, 2020

I want to be a friend of Club ACE!

By filling up this form, you agree to be a friend of Club ACE and will be given access to PACE @ Potong Pasir and Marsiling. You also agree to be notified of all the lit stuff lined up.

Tell us more about you!
First Name*
Full Name*
NRIC (Last 4 Characters)*
E.g. 619Z
Race*
Religion*
Gender*
Birthdate*
MM slash DD slash YYYY
Mobile Number*
Email
Name of Parent/Guardian*
Parent/Guardian's Mobile Number*
Address
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Personal Data Consent*
I fully understand and agree that the personal information which I have provided or are collected during C3 activities may be collected, used or disclosed for the purposes of:
(a) Engaging me regarding C3 programmes, services and activities;
(b) Record keeping, storage, audit and promotion of C3 and her programmes;
(c) Inclusion in a publicity video, brochures and other collaterals. Information collected may include photographs, audio recording, videos or other media.

I trust that the information will be used strictly for the purposes stated. I agree for C3 to contact me for purposes relating to C3 programmes, services and activities and maintaining the ongoing relationship with C3 until/unless I state otherwise.
- I agree
- I disagree
Youth Centre*
- PACE@PPCC
- PACE@MARS
- Others

Join Club ACE

I want to be a friend of Club ACE!

Tell us more about you!