Cricket Academy of Specialisation

Online Admission

Please fill this form and send us to join.

NAME*

GUARDIAN'S NAME*

STUDENT'S RELATION WITH GUARDIAN*

DATE OF BIRTH*:

BLOOD GROUP

OCCUPATION*

EMAIL*

PHONE NO*

SCHOOL/COLLEGE

RESIDENTIAL ADDRESS*

MEDICAL HISTORY & CASE OF EMERGENCY

GUARDIAN OCCUPATION

GUARDIAN PHONE NO*

HAS THE STUDENT SUFFERED FROM ANY MAJOR ILLNESS?*

Yes No

DOES THE STUDENT HAVE ANY CHRONIC DISEASE?*

Yes No

IF YES NATURE OF ILLNESS

IF YES, MENTION NATURE OF THE CHRONIC DISEASE

I CERTIFY THAT

a) I have gone through rules & regulation for the membership of the CRICKET ACADEMY OF SPELIASATION given overleaf & agree to abide by those rules.
b) I allow my ward to undergo training/coaching under the Banner of the CRICKET ACADEMY OF SPECIALISATION, while I understand that Academy will provide supervision & instructions at all times. I acknowledge the Academy cannot be held responsible for any accidents or injuries that may occur during or after the sessions.
c) He will use proper cricket gear and accessories as per the rules & advice of the Cricket Coach.

I agree to the RULES & REGULATIONS and COVID-19 Guidance

Amount