New Online Registration Form Welcome to JSSL!Please feel in your details below & someone will get back to you soonest! Child's Name:* Date of Birth*01020304050607080910111213141516171819202122232425262728293031day / JanuaryFebruaryMarchAprilMayJuneJulyAugustSeptemberOctoberNovemberDecembermonth / 202020192018201720162015201420132012201120102009200820072006200520042003200220012000199919981997199619951994199319921991199019891988198719861985198419831982198119801979197819771976197519741973197219711970196919681967196619651964196319621961196019591958195719561955195419531952195119501949194819471946194519441943194219411940193919381937193619351934193319321931193019291928192719261925192419231922192119201919191819171916191519141913191219111910190919081907190619051904190319021901year 2nd Child's Name: Date of Birth :01020304050607080910111213141516171819202122232425262728293031day / JanuaryFebruaryMarchAprilMayJuneJulyAugustSeptemberOctoberNovemberDecembermonth / 202020192018201720162015201420132012201120102009200820072006200520042003200220012000199919981997199619951994199319921991199019891988198719861985198419831982198119801979197819771976197519741973197219711970196919681967196619651964196319621961196019591958195719561955195419531952195119501949194819471946194519441943194219411940193919381937193619351934193319321931193019291928192719261925192419231922192119201919191819171916191519141913191219111910190919081907190619051904190319021901year Parent Name:* Email* Phone* Home Address: If your child is allowed to return home after sessions on his/her own, please state yes/no. Please take note - JSSL Singapore is NOT responsible for children who has ticked YES in the box below. *YesNo Venue:*Please choose from list belowHQ Arena Sat A.M.HQ Arena Sat P.M.HQ Arena Sun A.M.HQ MidweekSafra Tampines Sat A.M.Tanglin Trust Sat P.M. (West Coast)Tanglin Trust Wed P.M. Age Group:*U5U6U8U10U12U14U16Girls 8Girls 11Girls 13Girls 16 Age Group of your 2nd child: Preferred day of trainingSat A.M.Sat P.M.Sun A.M.Weekdays If you are keen for your child to try out for the Elite program, please check this boxYes I have spoken to an admin (Rina/Rubel/Shai/William) prior to filling up this form: Yes, I spoke to an admin How did you get to know about JSSL?* Any Medical issues that we should be aware about? TERMS & CONDITIONS: Soccer is a contact sport and, as such, injuries do happen. Whilst JSSL Singapore will take every precaution to ensure injuries do not occur during their coaching sessions and league matches, JSSL Singapore, their coaches, staff and players will not be held responsible or liable for any permanent injuries or losses of property to your child that may occur arising from any cause whatsoever during their time at a coaching session or league match. JSSL Singapore, their coaches, staff and players will not be held responsible or liable for any permanent injuries or losses of property to Parents or relatives of JSSL Singapore that may occur arising from any cause whatsoever during their time at a coaching session or a match. We would advise parents to get themselves covered with your own personal insurance in relation to any sports-related injuries. Should JSSL Singapore be unable to contact the child's parents, I hereby give my permission to JSSL Singapore to seek medical assistance for my child. I will bear full financial responsibility for any costs incurred. JSSL Singapore reserves the right to use any photographs and / or videos taken at JSSL Singapore sessions and League matches for publicity purposes. The person entering this form MUST be the child's parent or legal guardian. Ticking the "Yes" column means that you have read, and understood and agree to the RULES and REGULATIONS document and you consent to be bound by, all the terms & conditions of the agreement governing JSSL Singapore. Thank you.*Yes I agreeSubmitReset
