2026-March Flag Day Registration Form

Thank you for your interest in participating in our upcoming Flag Day. Please kindly help to populate your details, so that we can contact you with more details regarding the Flag Day.

On behalf of our patients, caregivers and volunteers, we thank you for your support, from the bottom of our hearts.

Salutation

Mrs

None

First Name

Last Name

Mobile Number

Email Address

If you are representing your school or organisation

Do you require the charity's endorsement for Value in Action (VIA) points?

Yes

None

Important Note: You must report to Epilepsy Care Group (Singapore) at least 1 hour prior to start of your shift.

EPILEPSY CARE GROUP (SINGAPORE)

3779 Jalan Bukit Merah
#02-03 Bukit Merah Community Hub
Singapore 159462
Tel: (65) 6358-0566

Select your preferred shift

9.00 am to 1.00 pm

1.00 pm to 5.00 pm

None

By submitting this form, I consent to Epilepsy Care Group (Singapore) collecting, using, and disclosing my personal data for the purposes of managing my participation in Flag Day, ensuring event safety, meeting regulatory requirements, and using event photos/videos for publicity. I understand my data will be kept securely and only as long as necessary, and that I may withdraw consent anytime by contacting ecgs93@singnet.com.sg. If I provide an emergency contact, I confirm I have obtained their consent for disclosure.

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