The following Registration Form is required to be completed and submitted in order to register for the ‘C&H Walk 4 Charity’. Payment must be made before registration can be accepted.

After you have submitted this Registration Form, you will be redirected to view your shopping cart. Click checkout and you will reach a paypal page and you can make payment using credit cards or paypal account. You do not need a paypal account in order to make payment.

* indicates required field

NRIC Name:*

NRIC No:*

Handphone No:*

Email Address:*

Address (for donations amounting to $50 & above):

Attending event on 02/06/2018?*

Yes, I'm attending
No, I'm donating only

Referred by:*

C&H Lifesparks AWWA School

Please enter the referrer's name*

CAPTCHA Code:*