FFLREGISTRATION NUMBER. LLL fee PLAYER DETAILS PARENT DETAILS (ote comotets foyer unr the age of 1 years) 1. Title Me Ms, Miss. Ms o Prot ‘10, ParentViegal guardian 2. First mame LI LI LU Te we [_}ins L_] rtes [_] os [_] or [_] Prot wee [T1TITITIIIIIII oe el LETT ste TLEELLEIIII LI en a os LETT fcunel LL send vat [_] rae Contact phonelomal ot ta pao) 4 coner tae [] rons om] TET) of DLT TTT TA & sreanttiy ston (|_| I COO mol T LILLIA | (eee oe oh CEEErt ‘= (al aialela(e (a) (atelslala es oH ee es [ SCHOOL DETAILS 8 cout fit ta awyouastaont? [_] es [_] wo 4 tasty an. unde 1 yer of ap and at cho lee provide ame of schol .nyoutavesdaatty plese secty [_]ersie [_ ]omotecna [| semy be yo pay fort ceaean? || Ys |) No he Seeceaiy FEES cov pone at of 12 Payer contact phoneme a pet su tatteraan [E (TTT T TET wf DILL TTT Toa omoint pid |Z oe] T LIL 18 Emergoncy contact enue Deca eyed tr ym ce a | rl | tnd hcoprte tocar vy te REGISTRATION DETAILS Sorter Pon aan segs hb waar at ha cada Pg rae ai 14 Mame of ub aoen ‘Saree 18. Previous Cb ga) = 1. Areyoucurenty under suspension? |_| Ys |_| No ascot Fb 1¥es,now many matcheswesks remaining FOR COMPETTION ADMINISTRATOR OFFICIAL USE ONLY aTERMS Tho Cb andthe Payer rie Player under 18 yar age atthe Seo signing he Form vee. hat Payer’ parent orgs qurdan) are: 1. Te innmaton provided on th Form i cent apd erect 2 Tcempl wh FL Stats, eluding te FFL Rules & Regulations, Code of Conduct, Dsiplnary Regulstons and Govance ResouonRopltons, copies of ich are avaable tn wl adeueh.cm orn rogues 8. Tocomply wih he Laws fhe Gane and th Compton Administrator's Competon Res; 4. The Payor an amateur 2 fined by FL laos and dos no rcave ay mony considera br prSipating inal her han easnahlepriiatin expences 5. Te player mst ply the mull greed fee the lob 6. FF, te Member Fodraton the Conpetion Adninisraar and the Cb Foetal Administ) may ue the Payers mame or image in any orm or medium fr genera makeing and prematonal aches; "There may be inert risks aesocoe with pertkpatng in otal hat may resulin persona inion he Payer agro fo ily setae; 8. Notting any lam or procedng agent any Faobal Adri or any damage, las, yo ably he Player may ser npartptng In foal, cop a eit hat by lw ‘aot be excluded, te Footal Adminis exclude al ail tthe Player in tort (ncuding negligence) contact or balmentor aes or omissions lhe Fatal Anita: and ha mployoosagnts and conte; SFL respects te piray oid on whom FL colts, uses and doses personal nfonnatlon. The persona infront FFL collects on his Fo i use and dscased fr he purposes 2s speci inthe Pinay Poly, nung processing reisatons, sang the Compelifen,eganisalon, conduc and pal cl Compeltns and Males and proving lol ola formation and ofters rom Fool Admits Player doo ol want ocive speci ols rom Fan Administ parr plas eke box on to ont oto For, ‘Acay ofthe ful Privacy Poly s vale on wus addush.com The Payer may request tess n persona iarmtion FFL holds by sending an ema to pracy @harsha@adush.com 10.tn ain tothe as given in aus 10, Fi ls seeking gabe more dee intormaton about tall patpat in Ini. y responding to hese questions, FL wl be sla a pl 2 more neds bared preach othe devopnent of he game, in parkuar ensuing lool is 2 mare nui spr. expanding the Scope and eller Evenes oor nigegus programs and fomuitig a comprehensive schools strategy ‘1. Tout exclusively oh jristcn of th rovanceRessuon Regulations ano ol tong tresave ay est or govance he ster mater lhe FL Stas ina curt ot ew {2 The Payers ryan Is ih the Cb ntl the tr fhe endo the Seaton rhe ine as speci nthe Competition Rules nd 18, FFL may door tho Pay a any in By noe in person or senohe arose ever, nung i hse Toso copra docanons ae nt comping wih ‘This cards on-ranslerable and resins the property of Bengal Fool . eee ee re pera rere een ere Lt ey Ce eer ett ses gat