Individual Registration Form - Airtel Africa

player registration form
If this letter accurately reflects your understanding, please sign in the space provided below.
ACCEPTED AND AGREED TO:
Print Name: _____________________________________________________________________________
Date: __________________________________________________________________________________
Signature: ______________________________________________________________________________
Date of Birth: mm/dd/yyyy _________________________________________________________________
Address: ________________________________________________________________________________
PARENT/LEGAL GUARDIAN:
I represent that I am the parent/guardian of the above-named person.
I hereby consent to the foregoing on his/her behalf.
Print Name: _____________________________________________________________________________
Date: ___________________________________________________________________________________
Signature: ______________________________________________________________________________