Name:*

Name of City:*

Phone Number:*

Gender:*MaleFemale

AdultCollegeHigh SchoolMiddle School

Emergency Contact Name:*

Relation:*

Phone Number:*

Does the student have any allergies?:*YesNo

If yes Please list:*

CricketTable TennisBasketballPickleballCarrom BoardVolleyballBadmintonFutsal
Participation in any two events is counted as 2 sports
For example, playing in single and doubles of table tennis will be counted asparticipation in 2 sports

Amount Paid :*

Receipt Screenshot:*

Signature:*

I certify that the above information is correct to the best of my knowledge.