August 12, 2017

Registration






Full Name of Student *

Father’s Name *

Mother’s Name *

Date of Birth

Email*

Student Phone Number *

Guardian Phone Number *

Select Blood Group

Height *

Weight *

School/College *

Do You Have Medical Fitness Certificate ?

YesNo

Select Programme

Do You Need Hostel Facility?

YesNo

Permanent Address

I hereby declare that:
All the information mentions above are true to best of my knowledge AND I / my ward don’t have any pre-existing medical condition at the time of joining this training program.
G Chauhan Cricket Academy shall not be responsible for any accident or injury CAUSED during training.
I am fully aware of possible accidents or injury that could happen during training, and after considering this possibilities I or allowed my child join/to join this program.
GCCA management can change the training schedule, coach or trainer and location of training.
In case of misbehavior, default on payment of fee and drug abuse GCCA can terminate my training without refund.

FEE ONECE PAID IS NON- REFUNDABLE
(All disputes shall be subject to jurisdiction of District Court of Durg Chhattisgarh)

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