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Goalkeeping Training now also available!
Floorball goalkeeping training based on Classic methods now available based on Classic goalie teaching methodology!

Day: Saturday (same as 2019 Saturday Class Dates as shown below)
Time: 1-230pm
Venue: Valhall, 28 Jln Benaan Kapal, Singapore 399630
Single session price: $40
6 sessions package (valid for 8 weeks): $225

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2019 Saturday Class Dates
2019 Saturday Class Dates:

April - 6, 13, 20, 27.
May - 4, 11, 18, 25.
Jun - 1, 8, 15.
Jul - 6, 13, 20, 27.
Aug - 3, 10, 17, 24.
Sep - 7, 14, 21, 28.
Oct - 5, 12, 19, 26.
Nov - 2, 9, 16, 23.
Dec - 7, 14, 21, 28.

Venue: Valhall, 28 Jln Benaan Kapal, Singapore 399630
*Floorball Arrows (Private) Venue: Singapore 560573 or otherwise agreed upon by Coach
How did you find out about us? *
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STUDENT DETAILS:
Student Name in Full *
Your answer
Student Contact Number *
Your answer
Student Date of Birth *
MM
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DD
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YYYY
Student Playing Experience? *
Do you need Floorball stick for rental? If Yes, indicate your height and master hand (Example: Yes, 169cm, right handed). IF No, just indicate "No." *
Your answer
STICK RENTAL
$5 per stick/session (Stick Rental)
$20 per stick (Damaged Stick Fee)
SESSION DETAILS:
*A one time $5 admin and registration fee applies to all new 1st time students
Choice of class *
Choice of package *
Number of sessions (applies for single session class pass & private sessions). Put "NA" if not applicable *
Your answer
2019 Saturday Class Dates
2019 Saturday Class Dates:

April - 6, 13, 20, 27.
May - 4, 11, 18, 25.
Jun - 1, 8, 15.
Jul - 6, 13, 20, 27.
Aug - 3, 10, 17, 24.
Sep - 7, 14, 21, 28.
Oct - 5, 12, 19, 26.
Nov - 2, 9, 16, 23.
Dec - 7, 14, 21, 28.

Venue: Valhall, 28 Jln Benaan Kapal, Singapore 399630
*Floorball Arrows (Private) Venue: Singapore 560573 or otherwise agreed upon by Coach
Please indicate start date: *
MM
/
DD
/
YYYY
EMERGENCY CONTACT DETAILS:
Emergency Contact Name in Full *
Your answer
Relationship to Student (eg. Mum) *
Your answer
Emergency Contact Number *
Your answer
I consent to my, my child or ward participation in the above activity. I also undertake to indemnify 13 Shining Stars LLP and Tiasa Pte Ltd against all claims arising out of any death, injury, damage, loss or liability suffered or caused in the course of participation in the above activity, where such death, injury, damage, loss or liability is not caused by the negligence or willful act or omission of 13 Shining Stars LLP and Tiasa Pte Ltd or their appointed staff or agents.
Initials (By entering your initials in the space below, you are effectively providing your signature, indicating that all the information on this form is true and accurate, to the best of your knowledge.) (type "NA" if not applicable). *
Your answer
MEDICAL DECLARATION:
Please state any existing medical conditions/injuries that you/your child have that might affect the session (eg. ‘Lukas has asthma’) *
Your answer
I declare that all the information provided above are true for myself as the participant or parent/guardian of the participant. I am currently not suffering from any acute ailment or diseases. I hereby declare that I am fit and in excellent health condition to participate in this Floorball Class and that I am not on any medication or any form of drug. I also exempt the event organizers, trainers, helpers and officials of all cases of personal injury that may occur at the event and that the first aid / medical officials may attend to me when injured. Should I have to receive treatment at a hospital or any medical institution due to any injury I will be responsible to pay my own expenses.
I am the *
Initials (By entering your initials in the space below, you are effectively providing your signature, indicating that all the information on this form is true and accurate, to the best of your knowledge.) *
Your answer
PAYMENT INFORMATION:
Email (For online invoice and receipt) *
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Payment Details (Please Take Screen Shot of the Below Infomation for Easy Reference Later) *
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Payment Verification (Please allow for 3-5 working days for verification) *
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TERMS AND CONDITIONS:
1. (Payment) Students are to make full payment for session/s before they can start a session.

2. (Payment) Fees and sessions are not transferable.

3. (New enrolling students) A one-time $5 administrative and registration fee will be applied to all new enrolling students.

4. (Class pass validity) All 12 sessions class pass and 24 sessions class pass are valid 14 and 26 weeks respectively from start date.

5. (Session schedule) All students are to remain in their scheduled sessions unless approved by 13 Shining Stars.

6. (Payment) All fees are due 7 days before session begins unless otherwise stated.

7. (Pro-rated fees) Students are only entitled to the 24 session class pass rate if they purchase 24 sessions and above in one transaction. If students purchase 12-23 sessions, they are only entitled to the 12 session class pass rate.

8. (Coach to Student ratio) The coach to student ratio for Alive/Champions (Level 0/1) and Mighty/Fearless (Level 2/3) sessions are 1:15 and 1:20 respectively. All students will be served on a first come first basis. Otherwise, students will be placed on a waiting list.

9. (Refund) There will be no refund of fees for withdrawal or absenteeism of students before the end of the term.

10. (Class Placement) 13 Shining Stars LLP reserves the right to allocate a student to a suitable class according to the skill level of the student, regardless of the student's age.

11. (Changes to Terms and conditions) All terms and conditions are subjected to change by 13 Shining Stars LLP without prior notice.

12. (DSA Students) Students who wish to DSA into certain schools are to make their goals clear at the start of the first private session. A skill assessment and customised training plan will be done by the Coach. Although 13 SS Floorball Academy has seen many DSA success stories, there is no guaranteed success.

13. (Single pass sessions) Students who sign up for single pass sessions are to complete all sessions before the term ends. No session will be allowed to be brought over to the subsequent term.

14. (Images and Videos): 13 Shining Stars is hereby granted the right to photograph and/or video record me and/or the listed minors and allowed to use my or their name, voice and appearance in connection with social media and promotional materials. I acknowledge and agree that the rights granted to this release are without compensation of any kind.
Please indicate your Initials below if you have read and agree to abide by the above Terms and Conditions (example: B.Q.) *
Your answer
A copy of your responses will be emailed to the address you provided.
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