Page 26 - Spardha 2024

SPARDHA
INTERNATIONAL SPORTS OLYMPIAD
GOOD HEALTH
AND WELL BEING-
SDG
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SPARDHA - 2024
INTERNATIONAL SPORTS OLYMPIAD

ENTRY CUM REGISTRATION FORM

PARTICIPANT OFFICIAL TEAM LEADER TEAM DEPUTY LEADER/ / /

Name of the School : ......................................................................................................

Name (in Capital Letters) : ......................................................................................................

Father’s Name : ...................................................................................................... Photo signed
by Principal/ Head
Date of Birth : ...................................................................................................... of the Institution

(DD -MM -YYYY ) : .................................................Gender(M/F) .............................

Age as on 9th November 2024 : _______________ Years _____________________ Month _____________________ Day

Discipline : Track & Field Badminton Karate Judo Debate

( A CHILD CAN PARTICIPATE ONLY IN ONE DISCPLINE )

Events :

Relay Race (4 x 100 Meter)

In case of Karate and Judo, Kindly mention Weight (in Kgs) _________________________________________________
Signature of the Participant : ________________________________________________________________________________

Signature of the Team Leader / Coach : _____________________________________________________________________
Signature of the Principal of the Participating School : ______________________________________________________

School Seal
Points to Note and Remember

Kindly get the photocopies of the Entry Cum Registration Form as per your team size.
Submit all the registration forms (in Original) and Medical Fitness Certificates
during registration of your team at venue.
Kindly bring one stamp sized coloured photo for the I-card.

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