New Student Registration Form

Roots Football School Registration Form

**Please fill in the details. Fields marked with * are compulsory**

Center*

Please select the training center

Student First Name*

Please type your first name.

Student Last Name*

Please type your last name.

Upload Student Photo (jpg,png format)*

Upload valid image file jpg, jpeg, png

Date of Birth*

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Gender*

Please enter gender of student.

Trainee Weight (kgs)*

enter a numeric value

Trainee Height (cms)*

Enter height in cms

Blood Group

Please type your residence location.

School*

Please type name of school.

Student Class*

Please enter class in which student is studying.

Past Training Experience (Years)

Please type a numeric value

Team(s) Represented

Please type your full name.

Medical Conditions

Please type your full name.

Address*

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Pin Code*

Please enter correct pincode

Primary Contact Person*

Father Mother Self Guardian

Please specify your primary contact person

Student Mobile Number

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Student E-mail

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Father's Name*

Please type father's full name.

Father's Mobile Number*

enter valid phone number

Mothers Name*

Please enter mother's full name.

Mother's Mobile Number*

enter valid phone number

Father's Email

Invalid email address.

Mother's Email

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Guardians Name

Please type your full name.

Guradian's Mobile Number

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Guardian's Email

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Emergency Contact Name

Please type your full name.

Emergency Contact Mobile Number

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Agreement of Parent/Guardian

This registration form, inclusive of the terms set out below, is a legal document that affects my child’s rights. By signing this registration and in exchange for the benefits provided by the Football Academy:

I certify that the information set out in this registration form is complete and accurate

I consent to my child participating in the Roots Football School (Roots FS) program (“the program”) run by Game On Sports Management Pvt. Ltd.

I agree that Roots FS may (without providing any refund) stop my child participating in the program if he disrupts the program activities, engages in conduct that puts the safety of others at risk, or otherwise does not follow the reasonable directions of Roots FS staff.

I give my permission for my child to leave the Roots FS premises to undertake program activities

I authorize the Roots FS to obtain such medical assistance and treatment as may be necessary for my child and agree to pay all the expenses of such treatment.

I consent to the Roots FS retaining and using personal information provided in this registration for the development of the Roots FS, to keep us informed about the Roots FS, its activities and products, and for direct marketing purposes

I agree and consent to Roots FS the rights to use any photograph, video or any other record for promotional, marketing or internal use.

I acknowledge that my child will be engaging in activities that involve a significant degree of physical exertion and a degree of physical risk, such as the use of fitness equipment and football activities. I acknowledge that the activities are inherently risky and involve risks of harm and personal injury, and I willingly assume these risks.

I release Game On Sports Management Pvt. Ltd, its staff, partners and agents, from all claims arising from any injury that my child may suffer as a result of participating in the program. In doing so, I acknowledge that I am discharging Roots FS, Game On Sports Management Pvt. Ltd., its staff, partners and agents, from all legal responsibility for any injuries suffered by my child from participating in the program.

Signing Name - Parent/Guardian(for minors)*

Please type name of parent/ guardian or player (above 18 years).

Contact us

Address

GameOn Sports Management Pvt Ltd.
#26, ESI Hospital Road,
HAL 2nd Stage, Indiranagar Bangalore - 560038

Phone - Bangalore

+91 80 4710 8080
Phone - Gurgaon

+91 80 4710 6666
Email

This email address is being protected from spambots. You need JavaScript enabled to view it.

Roots Football School Registration Form

Please fill in the details. Fields marked with * are compulsory

Agreement of Parent/Guardian

This registration form, inclusive of the terms set out below, is a legal document that affects my child’s rights. By signing this registration and in exchange for the benefits provided by the Football Academy:

By submitting this Form, the Player's parent or legal guardian agrees and complies with the Terms (as specified above) or the Player (if the Player is above 18 years of age at the time of submitting this Form) that

Contact us

Address

Phone - Bangalore

Phone - Gurgaon

Email

Links

**Please fill in the details. Fields marked with * are compulsory**