Basketball with LJE Sports
Per child per form. Please submit a new form to register another child.
SEP – OCT – NOV – DEC 2026
Select camp dates *
7 - 11 Sep12 - 14 Oct19 - 23 Oct26 - 30 Oct23 - 27 Nov30 Nov - 4 Dec7 - 11 Dec14 - 18 Dec21 - 24 Dec28 - 31 Dec
Child's Name *
Date of Birth *
Gender *
MaleFemale
School *
Parent/Guardian's Name *
Mobile Number *
+65
Home Number *
E-mail *
Emergency Contact's Name *
Relationship *
Please SelectMotherFather*Grandparent*Aunt/Uncle*Sibling*Babysitter/Nanny/Helper*Other
* If you are not the parent, we will contact you.
Alternate Mobile Number *
Email Address *
Alternate Email
Does your child have any special needs we need to be aware of? *
Please specify any food and medical allergies *
Please specify any current and previous injuries as well as medical history *
Is the child prescribed an inhaler? If yes, please explain any instructions.
Child must bring prescribed inhaler to camp.
I hereby give my approval for my child's participation in any and all activities prepared by LJE Sports Pte Ltd during the selected camp. I assume all risk and hazards incidental to the conduct of the activities, and release, absolve and hold harmless LJE Sports Pte Ltd. and all its respective officers, agents, and representatives from any and all liability for injuries to said child arising out of traveling to, participating in, or returning from selected weekly lesson.
In case of injury to said child, I hereby waive all claims against LJE Sports Pte Ltd. including all coaches and affiliates, all participants, sponsoring agencies, advertisers, and, if applicable, owners and lessors of premises used to conduct the event. There is a risk of being injured that is inherent in all sports activities, including basketball. Some of these injuries include, but are not limited to, the risk of fractures, paralysis, or death.
I have read and agree to the informed consent and acknowledgement above.
I acknowledge that I have read and understood and hereby accept the terms and conditions listed by LJE Sports Pte Ltd.
By acknowledging and submitting below, I am delivering an electronic signature that will have the same effect as an original manual paper signature. The electronic signature will be equally as binding as an original manual paper signature.
Electronic Signature *
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