Reply Slip (Registration Form)

R e p l y   S l i p

               We ________________________________________ who are legal parents/guardian of _______________________________ do hereby certify that we have read the guidelines of the 2014-2015 MTG Mathematical Challenge for Filipino Kids Training Program and give our full consent for him/her to participate in such a worthy training program.

NAME  ___________________________________Chinese Name (If Any) ________________ Sex: _____

Grade/Year Level: ______________ Citizenship: ____________ Religion: __________________ 

Birth date: ____________________ Contact No.: ___________________ Mobile No.: _________________       

T-Shirt size: _____________ Email Address: ____________________________________

Complete Residence Address: __________________________________________________________________________________

Name of School: _____________________________________________________________________________________________

School Address: _____________________________________________________ 

School’s Tel. Number: ______________________

 ___________________________________                              _________________________________

 Signature of Parents/Guardian over Printed Name                     Signature of Trainee over Printed Name