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1 Step 1


"Nurturing the Leader within Your Child with a Champion Mindset"

PARENT'S DETAILS

Name of Parent
Mobile Number

Date of Workshop

25 Mar (Sat), 2pm-5pm @ MindChamps HQ, Snyder Theatre

Are you a MindChamps parent?
MindChamps
Is your spouse attending the workshop?
Name of Spouse
Mobile Number
Promo Code

Thank you for your registration. You will also get a copy of the book, “The 3-Mind Revolution”, with our compliments. Please redeem it on the day that you head down to our centre for the talk.

CHILD'S DETAILS

Name of Child
Date of Birth

CHILD 2 DETAILS

Name of Child 2
Child 2 Date of Birth

CHILD 3 DETAILS

Name of Child 3
Child 3 Date of Birth
Were you contacted by a MindChamps representative before?
If yes, please indicate the MindChamps representative's name
I would like to receive updates, promotional and marketing information from MindChamps through my email account, telephone and/or SMS at the details provided in this form.
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