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Admin Registration
REGISTRATION FORM (REGULAR CLASSES & SUMMER CAMP)

Name of the Sports Academy: SAMRIDHI SPORTS ACADEMY
Download PDF Registeration Form Once you filled below form

PERSONAL DETAILS
Name:
Date of Birth:
Gender:
Your Society Name:
Address:
Mobile Number:
Email Address:
Upload Passport Size Photo:

PARENT /GUARDIAN INFORMATION
1
 Father’s Name:
Mobile Number:
Email Address
2
 Mother’s Name:
Mobile Number:
Email Address:

SPORTS ACTIVITY DETAILS
Sports Activity Opted by the student.

Previously played in any academy:

MEDICAL INFORMATION
Any Past or Present Medical condition:
Medications currently taken, if any:
Any Specific Allergies:

EMERGENCY CONTACT DETAILS
Name:
Relation with Applicant:
Mobile Number:
Email address:


CONSENT AND DECLARATION
By signing this application form, I acknowledge that:
I understand the risks associated with participating in sports activities and declare that I am physically fit to engage in the chosen sport(s).
I consent to emergency medical treatment, if required during the sports academy program.
I grant permission for the sports academy to use photographs/videos taken during training or events for promotional purposes.

Applicant's Signature: Date

 
Parent/Guardian Signature: Date
The Sports Academy reserves the right to refuse registration on its programs, as well as the right to terminate registration at will and without prior notice.