ST.

TERESA’S SCHOOL
JHOTWARA, JAIPUR
SUMMER CAMP FOR SPORTS/GAMES/ACTIVITY
15TH MAY TO 25TH MAY 2023

REGISTRATION FORM

PLEASE FILL THE FORM IN BLOCK LETTERS ONLY

NAME OF THE ACTIVITY : ___________________________________________

NAME OF THE STUDENT : ___________________________________________
DATE OF BIRTH : ___________________________________________
CLASS & SECTION : ___________________________________________
FATHER’S NAME : ___________________________________________
MOTHER’S NAME : ___________________________________________
SCHOLAR NO. : ___________________________________________
CONTACT NUMBER : ___________________________________________
HOUSE : ___________________________________________
ADDRESS : ___________________________________________

DECLARTION

I HEREBY DECLARE THAT I HAVE CAREFULLY GONE THROUGH WITH

THE RULES AND REGULATIONS APPLICABLE TO MY SON/DAUGHTER

DURING THE CAMP AND I AGREE TO ABIDE BY ALL OF THEM.

DATE:-

(SIGNATURE OF PARENTS WITH NAME)

CRICKET HANDBALL BASKETBALL VOLLEYBALL FOOTBALL KABADDI

SKATING MARTIAL DRUM GUITAR KEY- WESTERN

ART’S BOARD DANCE
RULES AND REGULATIONS:-

 The candidate is to bring his/her own personal kit.

 The camp will be conducted for 10 days (Monday to Saturday) from 15th MAY

to 25th MAY 2023 / TIME:- 6.30 AM TO 8.30 AM

 Fees CRICKET - 1000/-

OTHER GAMES - 700/-

 Nobody is allowed to smoke or consume alcohol in the school premises.

 Students are advised not to bring cash or expensive goods during the camp.

The school will not be responsible for any lost or misplace.

 Although due care is taken, injuries in the sports can always happen.

Academy will not be responsible for any injury that may take place. First aid

kit is always available with the sports coordinator.

(SIGNATURE OF CANDIDATE) (SIGNATURE OF PARENTS)

FOR MORE INFORMATIONS

MR. MAHIPAL SINGH MR. SURENDRA BARI

HOD SPORTS CORDINATOR

PHYSICAL DEPARTMENT

…………………………………………………...….x……………………………………………………..

RECEIPT

Student’s Name

Class Section Game/Sport Fee

Date Signature of
Receiver