Registration - Kathmandu Kickers

KATHMANDU KICKERS FOOTBALL ACADEMY

Name Of the player(खेलाडीको नाम) *

Age (उमेर) *

Height (उचाई )

Weight (त्तौल )

Date of Birth of Player ( खेलाडीको जन्म मिति ) *//

Blood Group of Player (खेलाडीको रगत समूह )

Player age group (खेलाडीको उमेर समूह ) *

Address (ठेगाना )

Name of the Village or City with street and house number (सडक र घर नम्बरको साथ गाउँ वा शहर को नाम)

Ward No (वार्ड नं )

Na Pa/ Ga Pa ( न. पा / गा. पा )

District (जिल्ला )

State (प्रदेश )

Phone (फोन ) *

Email (इमेल)

Does player require special attention or has any Medical issue? (के प्लेयरलाई कुनै विशेष ध्यान दिन आवश्यक छ वा स्वास्थ सम्बन्धि समस्या छ ?)

Venue Name *

Parents Information

Parents Name (अभिभावकको नाम) *

Parents Phone (अभिभावकको को फोन )

Parents Email (अभिभावकको इमेल )

School / organization Information ( स्कूल / संस्था सम्बन्धी जानकारी)

School / organization Name ( स्कूल / संस्था को नाम )

School / organization Phone ( स्कूल / संस्थाको फोन नम्बर )

Players Photo Upload (फोटो अपलोड ) *

Click or drag a file to this area to upload.

Rename the picture with your Name

Agreement

I certify that this information is complete and accurate. I understand that making false or fraudulent statements within this application or residency statement will result in disciplinary action, denial of admission. If admitted, I agree to abide by the policies and the rules and regulations of the Kathmandu kickers’s.

could you please confirm if you acknowledge the terms above? *

Yes, I understand and agree to the terms listed above.

We would like to share photos and videos of your child on our social media platforms. *

Yes, i give permission

We are not liable for any personal injury that you may suffer as a result of taking part in this activity. You take part at your own risk. *

Yes, I understand and agree to the terms listed above.

Events, activities, programs, and facilities of the college are available to all without regard to race, color, marital status, sex, religion, national origin, disability, age as provided by law and in accordance with Kathmandu kickers’s respect for personal dignity.

Players Signature (खेलाडीको सही छाप )

Parents Signature ( अभिभावकको सही छाप )