I would like to register me cancel my registration for the following event:
Please SELECT THE DATE of the event ---[ Mentoring Teens in The Internet Age ]------- 16 August 2008, 2:00pm - 6:00pm ---[ Bridging Generations Through the Internet ]- 23 August 2008, 10:00am - 1:00pm ---[ Empowering Parents In the Internet Age ]---- None <<- Please SELECT THE DATE of the event

Full Name
Select ------ Dr Mr Miss Mrs Mdm

Email Address


Main Contact Number (Office / Home)


Alternative Contact Number (Mobile Phone, NIL if none)


Company / Organisation (NIL if none)

• Confirmation of workshops will be via email, 3 working days in advance.
• Payment mode will be via:
  • Visa / Mastercard;
  • Cheque (Please make out a crossed cheque to "TOUCH Youth Ltd", and write the programme name and date on the back of the cheque)