HEALTH TROOPER BADGE HUNT & WORKSHOP BOOKING FORM

1. HEALTH TROOPER BADGE HUNT & WORKSHOP BOOKING FORM Registration Details Sign up for the Health Trooper Hunt & Workshop. Tick  against your preferred choice. Bookings are on a strict first-come-first-served basis and is confirmed only with written confirmation from HealthZone. Girl Guides Primary (Junior Health Trooper) Secondary (Dynamite Health Trooper) • 7 July, 2 – 3:30pm • 7 July, 3:30pm – 5pm • 9 July, 2pm – 3:30pm • 9 July, 3:30pm – 5pm • 14 July, 2pm – 3:30pm • 14 July, 3:30pm – 5pm • 16 July, 2pm – 3:30pm • 16 July, 3:30pm – 5pm • 21 July, 2 – 3:30pm • 21 July, 3:30pm – 5pm • 23 July, 2pm – 3:30pm • 23 July, 3:30pm – 5pm • 28 July, 2pm – 3:30pm • 28 July, 3:30pm – 5pm • 30 July, 2pm – 3:30pm • 30 July, 3:30pm – 5pm Other Uniformed Groups Primary (Junior Health Trooper) Secondary (Dynamite Health Trooper) • 22 July, 2 – 3:30pm • 22 July, 3:30pm – 5pm • 24 July, 2pm – 3:30pm • 24 July, 3:30pm – 5pm • 29 July, 2pm – 3:30pm • 29 July, 3:30pm – 5pm • 31 July, 2pm – 3:30pm • 31 July, 3:30pm – 5pm • 8 July, 2 – 3:30pm • 8 July, 3:30pm – 5pm • 10 July, 2pm – 3:30pm • 10 July, 3:30pm – 5pm • 15 July, 2pm – 3:30pm • 15 July, 3:30pm – 5pm • 17 July, 2pm – 3:30pm • 17 July, 3:30pm – 5pm Scouts Primary (Junior Health Trooper) Secondary (Dynamite Health Trooper) • 5 August, 2 – 3:30pm • 5 August, 3:30pm – 5pm • 7 August, 2pm – 3:30pm • 7 August, 3:30pm – 5pm • 12 August, 2pm – 3:30pm • 12 August, 3:30pm – 5pm • 14 August, 2pm – 3:30pm • 14 August, 3:30pm – 5pm • 19 August, 2 – 3:30pm • 19 August, 3:30pm – 5pm • 20 August, 2pm – 3:30pm • 20 August, 3:30pm – 5pm • 26 August, 2pm – 3:30pm • 26 August, 3:30pm – 5pm • 28 August, 2pm – 3:30pm • 28 August, 3:30pm – 5pm

2. Payment Details MODE OF PAYMENT (Please select one )  Cash (Payable at HealthZone counter)  Cheque (Made payable to “Health Promotion Board”)  Inter-bank GIRO (Bank Account No.: 001-900106-4/ Account Name: Health Promotion Board) Contact Details * Confirmation of your booking will be sent via email. Email completed booking forms to HPB_Health_Zone@hpb.gov.sg or fax to 6538 7725. Closing Date: 5 June 2009