JRT VOLLEYBALL ACADEMY
New Interest Sign Up Form (July to Sept 2019)
Email address *
July to Sept 2019
12 Sessions - 07, 14, 21, 28 July 2019; 04, 11, 18, 25 Aug 2019; 01, 08, 15, 29 Sept 2019
Choose Your Programme *
Participant's Name *
Age *
Date of Birth (DD/MM/YY) *
School Attending *
Medical Information (If any) *
Previous Sports Experience (If any) *
Volleyball Experience *
Required
Parent's/Guardian's Name *
Residence Address *
Postal Code *
Contact (HP) *
Payment is to be made before the term commences. (Choose 1 payment mode only). Please indicate your child's name for easy reference upon making the payment. For further enquiry on fee structure, please contact 92216277. *
Required
INDEMNITY AGREEMENT - Parent's/Guardian's given consent to and declare that my child/ward, is FIT to participate in the activities conducted by JRT Volleyball Academy *
Required
1. ALL PARTICIPANTS SHOULD BE MEDICALLY, MENTALLY AND PHYSICALLY ABLE TO PARTICIPATE IN THE TRAINING PROGRAMME THROUGHOUT THE ENTIRE DURATION OF THEIR INVOLVEMENT. *
Required
2. ALL PARTICIPANTS ACKNOWLEDGE THAT SOME OF THE ACTIVITIES MAY INVOLVE A SIGNIFICANT DEGREE OF PHYSICAL EXERTION AND PHYSICAL RISK. *
Required
3. ALL PARTICIPANTS SHOULD ONLY PARTICIPATE WHEN THERE IS A QUALIFIED INSTRUCTOR/APPOINTED PERSONNEL SUPERVISING THE PROGRAMME. *
Required
4. JRT VOLLEYBALL ACADEMY WILL NOT BE HELD RESPONSIBLE FOR ANY PERSONAL INJURY, DEATH, AND/OR ANY OTHER CONSEQUENTIAL MISFORTUNE/ ACCIDENT/LOSS/DAMAGE THAT MAY ARISE IN THE COURSE OF THE PROGRAMME. *
Required
5. ALL FEES ARE NON-REFUNDABLE, NON TRANSFERABLE AND NON-REPLACEABLE. MISSED SESSIONS ARE NON-REFUNDABLE, NON-REPLACEABLE AND NON-TRANSFERABLE. *
Required
6. REFUNDABLE DEPOSIT - NOTICE OF WITHDRAWAL MUST BE GIVEN 4 WEEKS BEFORE THE END OF THE TERM. *FAILURE TO GIVE REQUISITE NOTICE OF WITHDRAWAL WILL RESULT IN FORFEITURE OF DEPOSIT. DEPOSIT WILL BE FORFEITED FOR A MISSED TERM. *
Required
7. ALL PARTICIPANTS AGREE AND GIVE CONSENT FOR ANY VIDEOS OR PICTURES TAKEN DURING THE TRAINING SESSIONS CONDUCTED BY JRT VOLLEYBALL ACADEMY TO BE USED ON MEDIA PLATFORMS FOR MARKETING PURPOSES.I HAVE READ AND UNDERSTOOD THE ABOVE TERMS AND CONDITIONS. I AM AWARE OF THE POSSIBLE RISKS INVOLVED AND ACCEPT THE SAME. I CONFIRM THAT I AM ENROLLING MY CHILD/WARD ON MY OWN VOLITION AND SHALL NOT HOLD THE ACADEMY, ITS SERVANTS AND ORGANIZERS RESPONSIBLE OR IN ANY WAY LIABLE FOR MY CHILD/WARD PERSONAL INJURY, DEATH, AND/OR OTHER CONSEQUENTIAL MISFORTUNE/ACCIDENT/ LOSS/ DAMAGE WHATSOEVER ARISING FROM ANY CAUSE IN CONNECTION WITH THE PROGRAMME/TRAINING. *
Required
A copy of your responses will be emailed to the address you provided.
Submit
Never submit passwords through Google Forms.
reCAPTCHA
This form was created inside of JRT Academy. Report Abuse