The Perfect Place

Summer camps forkids from 8 – 13

Singapore’s most exciting, fun, and educational camps

just a ferry ride away to Bintan !

LooLabrings together the latest educational insights to promote team-spirit, self-confidence, leadership skills and a sensitivity for the local community; but above all, to have an unforgettable, adventurous and fun-filled week ….

Our programs involve kayaking and sailing in shallow safe water, climbing trees and walls, obstacle courses, archery, boat expeditions, many great games, and yes, even a night on survivor island! For more information, visit

Loola Adventure Resort Summer Camp 2010 Registration Form

SECTION AList the viable weeks:

Note all possible weeks below during which your child could go, to increase the chance to place him/her in a viable week with suitable peers (strikethrough what doesn’t apply)

Week 1Sun – Fri, 04 – 09 JulyPossible / Not possible

Week 2Sun – Fri, 11 – 16 JulyPossible / Not possible

Week 3Sun – Fri, 18 – 23 JulyPossible / Not possible

Week 4Sun – Fri, 25 – 30 JulyPossible / Not possible

Week 5Sun – Fri, 01 – 06 AugPossible / Not possible

SECTION BChild / Contact particulars:

Child’s Passport Name + Nationality: ______

Child’s Passport number + Date of expiry: ______

Gender: M / F Date of Birth: ______Age: ______

Address: ______

Parent/Guardian Name: ______(signatory of this page)

Parent/Guardian Mobile Phone : ______Home phone: ______

Parent/Guardian E-Mail Address :______

SECTION CEmergency contacts in case guardian unavailable:

1. Name: ______Relationship: ______Phone :______

2. Name: ______Relationship: ______Phone :______

Please list the name(s) of the person(s) allowed to pick up your child:

SECTION DMedical issues. Please circle your answer

YesNoAny allergies or medical conditions we should know of?

If yes, please provide details (email us if space here is not sufficient)

YesNo Does your child need to take any medication during camp?

If yes, state the details.

SECTION EPayment andAcknowledgement.

I enclose herewith a check for SG $ XXX (excl visa fee, ref made out to: XYZ (LooLa’s organizing partner in Singapore, TBA).

Payment will only be collected upon confirmation of the week.

I agree with the notes on liability printed in Section F below. Signed ______

SECTION FLiability issues:

I, the parent/guardian, hereby the declare the following: I am aware that LooLa Adventure resort has run many trips for schools and (young) children since the year 2000; that its programs are specifically designed to be child-friendly and safe; and that there have, to date, been no major accidents. I understand that it is in Loola’s own best interest to continue this good track record. I also understand, however, that nobody, including LooLa resort, can provide certainty that no accidents will ever happen. I expect that the teacher and resort staff exercise professional and responsible oversight of the children, the equipment and the activities, but I do not expect things that parents do not provide themselves, such as 24 hour monitoring of every single action of my child. I know that equipment could in theory fail, despite the best of professional care, and I accept to not hold the resort responsible for accidents (unless, of course, professional negligence is evident). I accept that my child will be expected to behave responsibly and will adhere to instructions from the teachers and LooLa’s staff. (Although this has never happened so far) I accept that the resort has the right, at its complete discretion, to send my child back to Singapore earlier if they feel that discipline issues pose a serious problem, and that no refunds will be given in such case. Should medical treatment be necessary, I accept that LooLa’s first action might be to call the insurance, and rely on their advice for further action. Loola will then attempt to contact the contact persons above via call/SMS. I declare that I have read the conditions of LooLa’s insurance on and are aware of the limitations of the medical coverage upon repatriation to Singapore.