Trial Booking *Parent / Guardian's Name *Mobile / Contact No. *Email Address *Occupation *Child's name (if more than one, please enter in message box below with date of birth and program class) *Age *Program Class Others (Please Contact me)TUE / 2 - 3.5 Years / 3.30 - 3.55 PM / (KEW GREEN)TUE / 4 - 5 Years / 4.00 - 4.40 PM / (KEW GREEN)TUE / 6 - 8 Years / 4.50 - 5.20 PM / (KEW GREEN)TUE / 6 - 9 Years / 5.30 - 6.30 PM / (KEW GREEN)THUS / 3 - 5 Years / 4.15 - 5.00 PM / (TANJUNG RHU)THUS / 6 - 8 Years / 5.00 - 6.40 PM / (TANJUNG RHU)THUS / 9 - 12 Years / 5.00 - 6.40 PM / (TANJUNG RHU)SAT / 4 - 7 Years / 8.30 - 9.15 AM / (ULU PANDAN ROAD)SAT / 8 - 12 Years / 9.30 - 11.00 AM / (ULU PANDAN ROAD)SUN / 3 - 5 Years / 9.00 - 9.45 AM / (NOVENA)Boys under 12 under 14 under 16 under 18Girls under 12 , under 14 under 16 under 18 Birthday partyHoliday Program *Date for free trial (dd/mm/yy) Does your child / ward have any medical issues or behavioural problems? Yes / No. If Yes, please specify: Other Message *All fields are required to complete registration I (Parent’s / Guardian’s name), agree to my child (child’s name) participating in the English Soccer School (ESS) soccer program. Although all reasonable precautions, as well as health and safety precautions as per the English FA curriculum guidelines will be taken, I will not hold ESS, its management, staff, coaches, players and invited coaches liable for any injury, loss of property or any other loss arising from any cause whatsoever during his/her participation *Parent/Guardian Name: *Date: By clicking the SEND button , I confirm that the above information is accurate and have read and agreed with terms and conditions below. Please Acknowledge, Disclaimer, Release and Waiver In registering for any program with ESS Soccer, parents thereby agree that they have read and understood and agree to and acknowledge the following terms and conditions on their own behalf and on behalf of their children participating in ESS Soccer Activities: Participation in any ESS Soccer activity (including without limitation games, formal or informal training, attendance at pitches, travel to and from ESS Soccer programs, ESS Soccer events, the provision of food and/or beverage at ESS Soccer activities, the use of grounds and/or equipment of ESS Soccer or others, games and training in external leagues and any other activity, event or program organized by, supported by or participated in by ESS Soccer and its members or related to or incidental to any such activity) (“ESS Soccer Activities”) by you/your child is undertaken at your own risk and you hereby personally assume these risks; You are solely responsible for ensuring that your child wears appropriate clothing and protection equipment (including without limitation shin guards, sunscreen, goal keeper gloves and gear, mouth guards and shoes) at all times during ESS Soccer Activities and ensuring your child drinks enough water during such activities; You agree to waive any and all claims that you/your child have or may have in the future against ESS Soccer, ESS, any coach of ESS Soccer (including without limitation coaches, assistant coaches, team parents, age group coordinators, program coordinators, and committee members) as well as any of their respective employees, officers, committee members, Coaches, representatives, agents and assigns (all of whom who are hereinafter referred to as the "Releasees") and to release the Releasees from any and all liability for any claim, loss, damage, expense or injury including death that you/your child may suffer arising out of, connected with, ancillary to or arising as a result of your/your child's participation in any ESS Soccer Activities, due to any cause whatsoever, including without limitation negligence and breach of any statutory or other duty of care on the part of the Releasees or third parties to safeguard or protect you/your child from the risks, dangers and hazards of ESS Soccer Activities; You hold harmless and indemnify the Releasees from any and all liability for any property damage or personal injury to any third party resulting from your/your child's participation in ESS Soccer Activities; You hold harmless and indemnify the Releasees from any and all liability for any costs they may incur for medical costs, emergency transportation and litigation resulting from your/your child's participation in ESS Soccer Activities; and This disclaimer, release and waiver shall be governed and interpreted solely in accordance with the laws of Singapore. After Pressing Send - please wait for a confirmation message - this may take up to one minute to appear on your screen.