Individual Registration Form - Airtel Africa

Individual Registration Form - Airtel Africa Individual Registration Form - Airtel Africa

africa.airtel.com
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14.04.2015 Views

player registration form GENERAL CONDITIONAL AND RULES OF PARTICIPATION These conditions for participation in the Airtel Rising Stars Football Tournament have to be signed by your parent/legal guardian and yourself. It concerns your personal responsibilities as part of your touring party, your health condition as well as the permission of your parent/legal guardian to participate. Kindly initial each page and sign as per requirement. PARENT’S DETAILS: Parent’s Family Name: ____________________________________________________________________ Parent’s First Name: ______________________________________________________________________ Parent’s Identification Number: _____________________________________________________________ Parent’s phone number in case of an emergency:______________________________________________ Parent’s regular cell phone number:_________________________________________________________ Parent’s phone work number: _______________________________________________________________ BIRTH CERTIFICATE SIGNED BY PARENT/LEGAL GUARDIAN First name and last name____________________________________________________________________ Physical address _________________________________________________________________________ Post code/city/country ____________________________________________________________________ Phone number __________________________________________________________________________ Country of birth/place of birth _____________________________________________________________ Nationality ______________________________________________________________________________ Gender: M F

player registration form IMPORTANT! Please make sure that your child carries an identification card/document with him/her on his/her day of participation! I hereby give consent to my child ________________________ for participation in the Airtel Rising Stars Football Tournament and agree to take all responsibility to ensure that my child will follow the rules of participation, set out below. Legal Guardian Father Mother Guardian First name and family name _______________________________________________________________________________________ Phone number (private and at work) _______________________________________________________________________________________ Mobile phone (in emergencies) _______________________________________________________________________________________ Address _______________________________________________________________________________________ E-Mail Address__________________________________________________________________________ Signed by Guardian in ________________________________ on ________________________________ In the event of an emergency, please indicate your name and phone number that you and two other authorized persons may be reached on: Father’s Name: __________________________________________________________________________ (H)Phone: _____________________________________ (W) Phone: _____________________________ Mobile _________________________________________________________________________________ Mother’s Name: __________________________________________________________________________ (H)Phone: ______________________________________ (W) Phone: _____________________________ Mobile _________________________________________________________________________________

player registration form<br />

GENERAL CONDITIONAL AND RULES OF PARTICIPATION<br />

These conditions for participation in the <strong>Airtel</strong> Rising Stars Football Tournament have to be signed by your<br />

parent/legal guardian and yourself. It concerns your personal responsibilities as part of your touring party,<br />

your health condition as well as the permission of your parent/legal guardian to participate.<br />

Kindly initial each page and sign as per requirement.<br />

PARENT’S DETAILS:<br />

Parent’s Family Name: ____________________________________________________________________<br />

Parent’s First Name: ______________________________________________________________________<br />

Parent’s Identification Number: _____________________________________________________________<br />

Parent’s phone number in case of an emergency:______________________________________________<br />

Parent’s regular cell phone number:_________________________________________________________<br />

Parent’s phone work number: _______________________________________________________________<br />

BIRTH CERTIFICATE SIGNED BY PARENT/LEGAL GUARDIAN<br />

First name and last name____________________________________________________________________<br />

Physical address _________________________________________________________________________<br />

Post code/city/country ____________________________________________________________________<br />

Phone number __________________________________________________________________________<br />

Country of birth/place of birth _____________________________________________________________<br />

Nationality ______________________________________________________________________________<br />

Gender: M F

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