Sports & Games Day Saturday, 14 April 2018 1:00 pm 13:00 Saturday, 28 April 2018 1:00 pm 13:00 Kim Seng Community Centre 570 Havelock Road Singapore, 169640 Singapore (map) Google Calendar ICS Join a community of parents and kids for an afternoon of games and activities at Kim Seng Community Centre. Activities are spread out over 2 Saturdays on April 14 and 28, from 1-3pmParents are encouraged to bring friends outside of church to fellowship while the kids can bond over sports organized by Solomon's Porch volunteersOpen to all kids from 4-9 years old Name of Parent * Name of Parent First Name Last Name House Church * 6th Ave Adam Rd Bugis Cornwall Laurel Wood Meadow Lodge Orchard River Valley Shelford Sterling Do not attend House Church Do not attend Solomon's Porch Mobile * Email * Child's Name * If more than 1 child, separate the names with a comma (,) Child's Age * If more than 1 child, separate the ages with a comma (,) Child's Gender * If more than 1 child, separate the gender with a comma (,) Disclaimers * I acknowledge that there are certain risks associated with the programs and activities at the Solomon's Porch Singapore Sports & Games Day (the "Event"), including, by way of example, physical injury due to activity-related accidents, physical injury due to transportation-related accidents, illness, or even death. I acknowledge that there may be other risks inherent in these programs and activities of which I may not be presently aware Photographs, Images & Recording * I agree to an unconditional release of all rights related to me or my child/children’s audio and photographic image that may arise out of my and/or my child/children’s participation in the Event. I understand that this release includes any and all marketing, promotion or advertising that may occur anywhere and anytime on any media as later used by Solomon’s Porch Singapore Limited ("Solomon's Porch"). Further, I hereby grant full permission for Solomon’s Porch, to record any or all of my and/or my child/children’s participation, and my and/or my child/children’s name and likeness in the programs and activities of the Event for photos, motion pictures, TV, radio, Internet, recordings, videotapes, and other media, known or unknown, and to use them in perpetuity, no matter by whom taken or recorded, in any manner for promotional purposes, without any reimbursement of any kind due to me, or the need to pay me any fee whatsoever. I agree that Solomon’s Porch will be the exclusive owner of all rights, including but not limited to the copyrights, in and to the recordings and the results and proceeds of my and/or my child/children’s participation hereunder. Release of Liability * I expressly (i) warrant that the child/children named above or I (if I am a participant) am capable of withstanding both the physical and mental demands of the programs and activities at the Event (ii) accept and assume all responsibilities and risks for injury, illness, disease or death to me (if I am a participant) or to my child/children arising from the participation in the programs and activities at the Event, whether such risks are known or unknown to me at this time and (iii) confirm that Solomon’s Porch is entitled to rely upon any representation made or information provided by me pertaining to my child/children and/or myself without having to conduct any further independent verification. I further release Solomon’s Porch and its ministers, leaders, employees, volunteers, and agents from any and all claims, liability, demands, actions, which are related to, arise out of, or are in any way connected with my or my child/children’s participation in the programs and activities at the Event. This release of liability shall include (without limitation) any claims of negligence or breach of warranty. This release of liability is also intended to cover any and all claims that members of the child/children’s or my family or estate, heirs, personal representatives, or assigns may have against Solomon’s Porch or its ministers, leaders, employees, volunteers, or agents. I further agree to hold harmless and indemnify Solomon’s Porch and its ministers, leaders, employees, volunteers, or agents from all costs, losses or liabilities, including (without limitation) legal fees, or any other costs incurred in connection with any and all claims that may be filed by me, my child/children, my estate, heirs, personal representatives or assigns arising from my or my child’s participation in the activities and programs at the Event. Personal Data Protection Act 2012 * I agree, acknowledge and confirm that I am aware that Solomon’s Porch collects personal information about me and my child/children. In particular, Solomon’s Porch may collect my name, my child/children’s name, identification number, address, date of birth, email address, telephone number, emergency contact name and emergency contact telephone number for the purposes of communicating with me, conducting research and promotional activities in relation to the Event. I also consent to receive future promotional material from Solomon’s Porch, including via electronic messages (e.g. email, SMS etc). First Aid and Emergency Medical Treatment * I recognize that there may be occasions where the child/children named above, or I, if I am a participant, may be in need of first aid or emergency medical treatment as a result of an accident, illness, or other health condition or injury. I do hereby give permission for agents of Solomon’s Porch to seek and secure any needed medical attention or treatment for the child/children named above, or me, if I am a participant, including hospitalization, if in the leadership’s opinion such need arises. In doing so, I agree to pay all fees and costs arising from this action to obtain medical treatment. I give permission for attending physician(s) and other medical personnel to administer any needed medical treatment, including surgery and I agree to pay for all fees and costs of the medical treatment. Thank you!