Excel Cricket Academy

REGISTRATION FORM

All players must complete this form in order to participate in activities. Completing this form does not guarantee participation (fees must be paid prior to participation).

Name *

First Name ** Please Enter First Name **

Last Name ** Please Enter Last Name **

Parent/Guardian Name (if Under 18)

First Name ** Please Enter First Name **

Last Name ** Please Enter First Name **

Player Date of Birth * ** Please Enter DOB **

Email * ** Please Enter Email **

Phone No. * ** Please Enter Phone No. **

Other No. (if any) ** Please Enter Other No. **

Address

Address Line 1 * ** Please Enter Address Line 1 **

Address Line 2 ** Please Enter correct Address Line 2 **

State * ** Please Select State **

City * ** Please Select City **

Pincode * ** Please Enter Pincode **

amount * ** Please Enter Amount **

Age Category

Youth (18 and under)

Adult (19 and over)

** Please Enter Age Category **

Gender (for competition groups)*

Male

Female

Not Applicable

** Please Enter Gender **

DOCUMENTS UPLOAD:

Birth Certificate * ** Please Upload Birth-Certificate **

Aadhaar Card * ** Please Upload Adhaar **

Profile Photo * ** Please Upload Profile Photo **

How did you hear about us? * ** Please Select one option **

School Name (if applicable) ** Please Enter School Name **

Message ** Please Enter Message **

By, clicking YES, I agree to the Terms and Conditions. I agree to release and indemnify Excel Cricket Academy from all liabilities arising from participation in programs and events. I agree to the Rules and Policies as a member of the Excel Cricket Academy

YES, I agree

** Mandatory to select **

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REGISTRATION FORM