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Intermediate
Registration form
For 9 to 12 years old
Participant First name
Participant Last Name
Age
Gender
Male
Female
Address
Parent/Guardian First name
Parent/Guardian Last Name
Relationship to Participant
Parent/Guardian Phone Number
Parent/Guardian Email
Does the participant have any medical conditions or allergies? If yes please specify below
I agree to the following charges
Registration Fee - Rs 400
Training Fee per session - Rs 200
Permission & Agreement
I hereby akcknowledge that participation in the basketball academy involves inherent risks of physical injury and understand that safety precautions will be taken during all activities. I, release the basketball academy, its staff, and affiliated personnel from any liability for any injury, loss, or damage suffered during participation in the academy.
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