Registration

Full Name of the Competitor (In Block Letters)

First Name:

Middle Name:

Last Name:

Date of Birth (mm/dd/yyyy):

Date of Birth Proof:

Gender:

Aadhaar Card No:

Aadhaar Copy:

Blood Group:

Parents / Gurdian Details

Name:

Permanent Address:

District:

School/College:

E-mail:

Contact No:

Coach Name:

Coach Number:

Events Category:
Figure Skating
Short Track Speed Skating
Long Track Speed Skating

Fees Amount:

Fees Deposit Slip:

Place:

Date(mm/dd/yyyy):

Signature:

I undertake to abide by the rules and regulations of the camp/championship being held at. I undertake to participate in the camp/championship at my own risk and will not claim any compensation from organisors/Haryana Ice Skating Association and Ice Skate for any injury (ies) / fatal injury sustained due to any accident during the course of camp/championship.

*Terms and conditions apply