KURLA SPORTS CLUB President – P.
Valanju
Add: 03, Satyam Apartment, Thane (West) Coach - S. Valanju 07039913769
Contact : 09763751982 Coach - R. Satpute 08356854909
ADMISSION FORM
Form No : _____ Admission Year : _____________ Period : ________________ to __________________
Name of Student : _____________________________________________________
Father’s Name : _______________________________________________________
Photo
Mother’s Name : ______________________________________________________
Date of Birth : _________________________ Age : ________________________
Name of School : ______________________________________________________
Class : ________________________ Division : _____________________________
Address : _______________________________________________________________________________
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Rules & Regulations ;
Every Student must obey the Rules & Regulations of the Club.
Instructions given by the administrator or his representative should be strictly followed.
ID (Identity Card) to be brought regularly.
The Club will not be responsible for loss of any personal property.
No refund/adjustment or cancellation of fee will be made.
Guardian’s Declaration –
I am aware of the Rules & Regulations of the Club. I assure you as the guardian of my
son/daughter ____________________________________________ that he/she will abide by these
rules and those which may be framed in the future and I shall co-operate with the club in every respect
for better coaching. I further declare that I shall never hold the club responsible for any injury or
accident that my son/daughter may receive in course of coaching or matches conducted.
__________________
Date : _____________ Signature of Father/Mother/Guardian