[Independence Day Roller Skating Competition 2018 Competition will be Held on 12° August 2018 @ KVBR Stadium Skating Rink, Yousufguda, HYD-045 ENTRY FORM (Please read the instructions sheet before filling up the form) 1. Name (in Block Letters) Male 0 Female O 2. Father's Name: inline OShoes Skate 0 Tenacity O 0-6 68 8-10 [10-12 [ 1214 | 1416 | Abovel6 AgeGroup [ 2011& | 2010& | 2008& | 2006& | 2004% | 2002& | 2000& Above | 2009 2007_| 2005 2003 2001_| Above Please Tick ~ 3. Date of Birth (in words) (as per school record) Representing School: Classé& Section : 4. Address: Ph.No DECLARATION OF THE PARENT: Thereby declare that all the information provided in this entry form is true. I have read and agree to all the terms and conditions and agree to abide by the rules and regulations. I also agree not to hold organizers/other participants liable in case of any injury/accident’mishap to my child during this competition. Signature of the Parent Signature of the Participant ene Rules and Regulations 1) Entry Fee : Rs.500and is non- refundable, Attach date of birth certificate with entry form The race will start from below 6 years age group and above 2) Head gear and knee pad is compulsory for all the participants. 3) The Prize distribution will be held according to event doneEvery participant will get Participation Certificate 4) The race is conducted as per the rules of Mega Skating Academy. 5) If the competition is postponed, the next date will be given and inform to your skating coach. The last date for submission of the Entry Form is 10.08.2018, eS CATEGORY REPORTING TIME DATE Tenacity Skates 07:30 AM 12-08-2018 ya Bhaskar Reddy : : Stadium Skating Rink, QuadSkates = S0 AN Yousufguda, Hyderabad. Inline skates 10:30 AM