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Under the auspices of Roller Skating Federation of India 10th,11th,12th,13th,16th & 17th November 2018 Hosted/Organised by Roller Skating Association of Ernakulam & Idukki Roller Skating Association | ||||||
| SKATER ENTRY FORM | Application No | :'.$appno.' |
| ';
echo '|||
| Name | :'.$sname.' | |||||
| Date of Birth | :'.$dob.' | |||||
| Age | : '.$age.' '; echo ' , Age Group : '.$ag.' (as on 31-12-2018) | |||||
| Gender | :'.$gender.' | |||||
| District | :'.$club.' | |||||
| School | :'.$school.' | |||||
| Blood Group | :'.$blood.' | |||||
| Father Name | :'.$fathername.' | |||||
| Phone & Email : | '.$phone.' '.$email.' | |||||
| Address, City, Phone & Email :As Entered Online. | ||||||
| City | :'.$city.' | |||||
| Phone | :'.$phone.' '.$email.' | |||||
| Address : | '.$address.' '.$city.' '.$pin.' | |||||
| Participation Details | ||||||
| Adjustable | '; //echo $rink1; if($adjrink1=='true') { echo ' Rink I, '; } if($adjrink2=='true') { echo ' Rink II, '; } if($adjrink2a=='true') { echo ' Rink II A, '; } if($adjrink1!='true' && $adjrink2!='true' && $adjrink2a!='true') { echo 'NA'; } echo ' | |||||
| Under-8 | '; //echo $rink1; echo $under8; echo ' | |||||
| Speed-Quad | '; //echo $rink1; echo $quad; echo ' | |||||
| Speed-Inline | '; echo $inline; echo ' | |||||
| Artistic | '; echo $artistic; echo ' | |||||
| Hockey | '; echo $hockey; echo ' | |||||
| Inline-FreeStyle | '; echo $freestyle; echo ' | |||||
| Other | '; echo $other; echo ' | |||||
| ';
?>
Note-I: Skaters have to participate(a).in one discipline only i.e. in Speed Skating or Artistic Skating or Hockey or Freestyle Skating/Demo event,(b).in their own age group, Upper Age Group jumping is not permitted. Signature of Skater Signature of Parent/Guardian (for Under 16)
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