Evening Batch Registration for Football Training - K R FOOTBALL LEADER CLUB

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Evening Batch Registration Form
Annual Education

PARENTS/GUARDIAN INFORMATION

Prefix

First Name *

Last Name

Street Address *

City

State/Province *

ZIP / Postal Code *

Country

Phone *0 / 13

Emergency Phone no.0 / 13

Email Address

Parent/Guardian UID no. *

Relationship With Student/Player *

Please Brief Explain What You Hope Your Child Will Accomplish With K R Football Leader club.0 / 200

STUDENT/PLAYER INFORMATION

Prefix

First Name *

Last Name

Contact Information

Phone *0 / 13

Email Address

Street Address

City

State/Province

ZIP / Postal Code

Country

Gender *

Date Of Birth *

Nationality

Student/Player UID no. *

Ground Information

Jersey SIze

Boot Size

Sport Shoes No. *

Playing PositionGoalkeeperCenter BackRight BackLeft BackCenter Mid FielderRight WingerLeft WingerCenter ForwardPlaying position for Student/Player who want to play or played before.

Student/Player Present Height *

Student Player Present Weight *

Previous Club

Present School Name

I have Completed SSCE *

I am still in Sec. School

Student/Player Passport Size image. *

No file chosen

Ration 1:1 Max 12 MB

DECLARATION *

WE HEREBY CERTIFY THAT OUR WARD IS IN SOUND MENTAL, PHYSICAL CONDITION & CAPABLE OF PARTICIPATING IN SOCCER ACTIVITIES. WE UNDERSTAND THE POSSIBILITY OF PHYSICAL INJURY ASSOCIATED WITH SOCCER & I PERMIT K. R. FOOTBALL LEADER CLUB COACH STAFF TO ACT ON BEHALF IN ACCORDANC WITH THEIR BEST JUDGMENT IN ANY EMERGENCY REQUIRD MEDICAL ATTAENTION, WE THEREFORE RELEASE, DISCHARG K. R. FOOTBALL LEADER CLUB OWNERS, STAFF, AFFILIATES & ASSOCIATED PERSONNEL, INCLUDING THE OWNERS OF FACILITIES USE BY THE CLUB AGAINST ANY CLAIM MADE BY OR ON BEHALF OF THE PARTICIPANT AS A RESULT PARTICIPATION IN CLUB.

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