Player Registration Form

Fill the form to register as a player

YOUR NAME *

DATE OF BIRTH

YOUR EMAIL *

SCHOOL NAME

GENDER *

CLASS

BLOOD GROUP *

DATE AND YEAR *

GAME NAME

KARATE STYLE *

Shotokan

Others

CURRENT BELT

COACH/INSTRUCTOR NAME *

CLUB/DOJO NAME *

STATE NAME

FATHER NAME

MOTHER NAME

MOBILE NUMBER

ALTERNATIVE MOBILE NUMBER

FULL ADDRESS

CITY

PINCODE

DOES THE CHILD HAVE ANY ILLNESS OR INJURY? *

YES

EMERGENCY MOBILE NUMBER *

I hereby give my consent for my child to participate in the karate competition, and I accept full responsibility for any associated risks. *

PASTPORT SIZE PICTURE *

Submit

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