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  • Evergreen Academy

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    Technet
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    This document is an application form for registration at the Evergreen Cricket Academy. It requests personal information from the applicant such as name, date of birth, address, and contact details. It also asks for the preferred batch time and includes a certification that the applicant will follow academy rules and participate at their own risk. The parent or guardian must also sign agreeing to these terms. The bottom section is for office use only to record the membership number and payment details.

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    EVERGREEN ACADEMY

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    This document is an application form for registration at the Evergreen Cricket Academy. It requests personal information from the applicant such as name, date of birth, address, and contact details. It also asks for the preferred batch time and includes a certification that the applicant will follow academy rules and participate at their own risk. The parent or guardian must also sign agreeing to these terms. The bottom section is for office use only to record the membership number and payment details.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Flag for inappropriate content
    Download as pdf or txt
    18 views1 page

    Evergreen Academy

    Uploaded by

    Technet
    This document is an application form for registration at the Evergreen Cricket Academy. It requests personal information from the applicant such as name, date of birth, address, and contact details. It also asks for the preferred batch time and includes a certification that the applicant will follow academy rules and participate at their own risk. The parent or guardian must also sign agreeing to these terms. The bottom section is for office use only to record the membership number and payment details.

    Copyright:

    © All Rights Reserved
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    of 1

    SRI RAMAJAYAM

    Photo

    EVERGREEN CRICKET ACADEMY

    APPLICATION FOR REGISTERATION


    REGULAR / SUMMER CAMP

    Membership No. __________________________ DATE: _______________

    PERSONAL DATA ( To be filled by the applicant )

    NAME : ____________________________________________

    FATHER NAME : ____________________________________________

    DATE OF BIRTH : ____________________________________________

    AGE : ____________________________________________

    RESIDENTIAL ADDRESS : ____________________________________________

    OCCUPATION : ____________________________________________

    CONTACT NO / EMAIL ID : ____________________________________________

    SCHOOL / COLLEGE / CLUB : ____________________________________________

    PREFERRED BATCH

    1. Gold Membership : Monday to Saturday – 6.00 am to 9 am OR 3.30 pm to 6 pm

    2. Silver Membership : Friday & Saturday – 6.00 am to 9 am OR 3.30 pm to 6 pm

    I Certify that:

     The information given above is correct to the best of my knowledge and if found wrong, my membership may
    be ward cancelled and dues paid by me, be forfeited. Fee once paid to not refundable / transferable.
     My ward will be participating in cricket practice and competition at his / her own risk. I will not claim any
    compensation for his / her injury playing cricket. Management will not be responsible for any injury or loss of
    life.
     He / She will use proper cricket gear accessories as per the rules and advise of the cricket coach.

    Parent’s/Guardian Signature Signature of Applicant

    FOR OFFICE USE ONLY

    Membership No. __________________

    Amount Paid: Rs __________________ Amount Paid up to ___________

    Chelliamman Nagar, Chelliamman Koil Street, Madhavaram, Chennai.


    Mobile No. 8610366413, 9677113212, Email. Banu.venkatesh598@gmail.com

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