Little Wheel Werks - Myfave Aug

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To reserve only your FIRST class, please submit the booking request form.

(Subsequent classes will be based on the same day & time as your first class)

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Your name please?* This field is required.Who bought the voucher?

First Name

Last Name

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E-mail* This field is required.

example@example.com

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Phone number* This field is required.

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Learner's name(s)Who is learning?

First Student

Second Student

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Learner's age(s)* This field is required.As of current year

e.g. 5 & 8 (Please indicate a comma if more than one student)

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Voucher Code* This field is required.Please key in your purchased voucher code(s)

Please indicate a comma if more than one(1) voucher

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Voucher Type* This field is required.with effect from 2022, all 1-Hour lessons will be replaced to 45-Min lessons

1-Hour Inline Skating Class for 1 Adult / Child (2 Sessions)

1-Hour Inline Skating Class for 2 Adult / Child (2 Sessions)

30-Minute Bike Balancing Class for 1 Child (1 Session)

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Location (Inline)* This field is required.Please select the teaching centre

East Coast Park (Saturday)

West Coast Park (Sunday)

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Location (Bike)* This field is required.Please select the teaching centre

East Coast Park (Saturday)

West Coast Park (Sunday)

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East Coast Park (Inline-Skating)* This field is required.Inline-Skating

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East Coast Park (Bike)* This field is required.Bike-Balancing

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West Coast Park (Inline)* This field is required.Inline-Skating

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West Coast Park (Bike)* This field is required.Bike-Balancing

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Is there anything we need to know prior class? (Optional)Please indicate if student requires special assistance

e.g. Past Injury, Medical History, Special Needs, Skin Condition, Allergies

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Do you have your own training essentials??* This field is required.For Hygiene purposes & due to Covid-19 measures, we advise learners to have a personal set (Wrist, Knee, Elbow, Helmet) - Select what you have

Helmet

Wrist, Elbow & Knee Pads

Rollerblades

Balancebike

Purchase NEW ($32) - wrist, elbow & knee pads

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Terms & Conditions* This field is required.note: Dates requested are not confirmed until a CONFIRMATION message is sent to you via SMS/WhatsApp/Email. Our team will get in touch with you soon! | "LIke" us @ www.facebook.com/littlewheelwerks | TERMS & CONDITION I acknowledge and agree that participating in physical activities comes with inherent risks, therefore students must be responsible for their own safety during urban. | All safety equipment should be worn always during the event. | I undertake to ensure strict compliance with all rules, regulations and instructions given during the Event to minimize risk factors. | Whilst reasonable precaution will be taken by Little Wheel Werks to ensure student’s safety. | I understand that as a participant I take part at my own risk. Little Wheel Werks and their instructors will not be held liable for any injury arising from participating in this event. | I understand that pictures and videos will be taken during event and may be used in social media platform as well as marketing materials. | Little Wheel Werks reserves the rights to reject students who are deemed unfit for class (if undeclared upon registration).

I AGREE to the above Terms & Conditions

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Health Declaration* This field is required.1. Have you traveled abroad (i.e. to any countries outside of Singapore, excluding Brunei and New Zealand) in the past 21 days? 2. Do you have flu-like symptoms (e.g. fever, cough, runny nose, sore throat or loss of taste/smell, etc.)? 3. Are you currently: (i) serving Stay-Home Notice (SHN); OR (ii) serving Quarantine Order (QO) issued by the Ministry of Health (MOH)? (iii) a Person Under Phone Surveillance (PUPS) by MOH? 4. Have you, in the past 14 days, had close contact with a COVID-19 person?

"No" to all questions above

"Yes to one(1) or more to questions above

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The information you provide is important in managing the risk of COVID-19 transmission. The Infectious Diseases Act requires a person who has reason to suspect that he is a case or carrier of COVID-19, or has had contact with a person with COVID-19, to act in a responsible manner to not expose other persons to the risk of infection by the disease.