Be.Live Base Camp Individual RegForm

Individual Registration
25th Oct 2021 | 8.30am - 10.30am | Online
26th - 28th Oct 2021 | 8.30am - 3pm | Hybrid (Online & Onsite), Non-residential.

Please read before proceeding:

To complete this registration:-

Please be prepared to upload a copy of the Consent Form that has been signed and acknowledged by your Parent/Guardian. You will find a consent form in your package. Otherwise, you may download a copy here (Parent Consent Form).

We have incorporated relevant safeguards to protect your personal data under our care. For more information, please refer to famchamps.sg/privacy-policy.

By providing your information, you agree to receive communications from Focus on the Family Singapore and FamChamps®. We respect your privacy.

Thank you.

SECTION I - PARTICIPANT

Name of School/Community Group *

Class Level *

Secondary 1/Year 1 Secondary 2/Year 2

Name (as in NRIC/FIN) *

First Name Last Name

NRIC (Only last 3 digits + last alphabet) *

Gender *

Male Female

Date of Birth *

Date

Race *

Nationality *

Singaporean

Medical Condition / Allergies (if any) *

Which social media app(s) do you use often? *

Facebook Telegram WhatsApp Instagram Discord

Preferred T-shirt size *

3XS - 32 2XS - 34 XS - 36 S - 38 M - 40 L - 42 XL - 44 2XL - 46 3XL - 48

CONTACT DETAILS

Email Address *

Contact No. (Mobile) *

Contact No. (Home) *

Address *

Street Address

Street Address Line 2

Street Address Line 3

Postal / Zip Code

SECTION II - PARENT/GUARDIAN

IN CASE OF EMERGENCY

Name of Parent/Guardian (as in NRIC/FIN) *

First Name Last Name

Relationship to Participant *

Contact No. (Mobile) *

Email Address *

example@example.com

Preferred Language *

SECTION III - HOME-BASED HONOUR NIGHT

Home-based Honour Night will be held on Day 2 of the Camp. This is a special opportunity for parents and participating youth to enjoy activities that will promote closer interaction and deepened appreciation for one another.

No. of Parent/Guardian participating in the Home-based Honour Night. *

0 1 2

Do encourage your parent/guardian to accompany you for this segment of the camp as it will be a time where you are able to have a meaningful time of fun with them.

Parent/Guardian #1 - Name *

First Name Last Name

Parent/Guardian #2 - Name *

First Name Last Name

SECTION IV - PARENT CONSENT FORM

You will find a consent form in your package. You may download a copy here.

Please attach a copy of the consent form that has been signed and acknowledged by your Parent/Guardian. *

Browse Files

SECTION V - PAYMENT DETAILS

Preferred Mode of Payment *

Bank Transfer for $320/- (Early Bird Fee from 17 Aug – 14 Sep, 2021) Bank Transfer for $350/- (Regular Fee from 15 Sep – 30 Sep, 2021) PayNow for $320/- (Early Bird Fee from 17 Aug – 14 Sep, 2021) PayNow for $350/- (Regular Fee from 15 Sep – 30 Sep, 2021)

Please log on to your bank account to make payment:

Bank Transfer:
Account Name: Focus On The Family Singapore Ltd
Bank Account: 070-900585-3
Bank Name: DBS Ltd
Bank Code: 7171

Important: Please key the following into the Comments for Recipient field when making Bank Transfer:

BELIVE / [your name as registered]

PayNow to UEN:
200108115N

Important: Please key the following into the Reference Number field when making payment via PayNow:

BELIVE / [your name as registered]

Please upload screenshot of the payment *

Browse Files

Privacy Policy *

By submitting this registration form, you agree that FamChamps may collect, use and disclose your personal data, as provided in this registration form, or (if applicable) obtained by our organisation as a result of your registration, for the provision of the service requested in accordance with the Personal Data Protection Act 2012.

Please visit our website at www.famchamps.sg/privacy-policy for further details on our data protection policy.