Academy Registration - Roorkee Roller Skating Academy

Personal Details

Passport Photo *

Player's Name *

Date of Birth *

Blood Group

Gender

Guardian & Contact Details

Father's Name *

Mother's Name *

Mobile No *

Email *

City

State

Pin Code

Skating & Medical Information

Skating Level *

Previous Skating Experience? *

If Yes, Please Specify

Any Medical Condition? *

If Yes, Please Specify

Guardian's Consent

I, the parent/guardian, hereby consent to my child's participation in the activities of Roorkee Roller Skating Academy. I understand that skating involves risks of injury. I agree to the terms and conditions of the academy and confirm that all information provided is true to the best of my knowledge.