JSSL Online Registration Form

Name of child (1): *

First NameLast Name

Date of Birth*

DayMonthYear

Gender*

MaleFemale

Please help to put a picture of him / her here! Thank you.

Browse Files

Do you have another child?*

YesNo

Name of child (2):

First NameLast Name

Date of Birth

DayMonthYear

Gender

MaleFemale

Please help to put a picture of him / her here! Thank you.

Browse Files

Name of child (3):

First NameLast Name

Date of Birth

DayMonthYear

Gender

MaleFemale

Please help to put a picture of him / her here! Thank you.

Browse Files

Venues available:
HQ @ Premier Pitch SCRC - 49 Balestier Rd, Singapore 329676
Safra Tampines - 1/A Tampines Street 92, Singapore 528882
Tanglin Trust School - 95 Portsdown Rd, Singapore 139299

Preferred training time*

Preferred trial date*

Date

I have spoken to an admin (Shai/Amirul) prior to filling up this form:

Yes, I spoke to an admin

If your child / children 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

Any Medical issues we should be aware about?*

How did you get to know about JSSL?*

Name of Parent*

First NameLast Name

Phone Number*

Area CodePhone Number

Phone Number 2

Area CodePhone Number

E-mail*

example@example.com

Address

Street Address

Street Address Line 2

Postal / Zip Code

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 holds the rights to use images & videos & film of players for all JSSL marketing purposes.
JSSL holds the rights for photos, videos, or film likeness to be used for any legitimate purpose including video team analysis by the activity holders, producers, sponsors, organizers, and assigns.

The person entering this form MUST be the child's parent or legal guardian. By signing below 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.

Advisory: Avoid Strenuous Activities One Week Post Vaccination
We recommend that everyone, in particular adolescents & younger men aged less than 30 years, avoid strenuous physical activity, such as intense exercise, for one week after the first and second doses. This includes running, competitive sports and/or playing ball games. JSSL Singapore, their coaches, staff and players will not be held responsible or liable if you choose not to abide by the advisory above by MOH
If your child has been vaccinated recently and you would still like them to continue training, please email us here

Signature*

by signing above. I acknowledge that I have read and understand the content of this agreement