ALL INDIA YSAA NATIONAL LEVEL CHAMPIONSHIP 2024

ORG. BY: YOUTH SPORTS & ACTIVITIES ASSOCIATION OF (INDIA)

SUPPORTED BY: YOUTH & SPORTS ACTIVITIES ASSOCIATION OF GOA
Venue- GOA, Date 21 to 24 June 2024

Boy Girl

INDIVIDUAL FORM
(PLEASE FILL CLEARLY IN BLOCK LETTERS)

Name:…………………………………………………………………………………………………………………..

Game/Sport…………………………………………………………………………. Event……………………………………….

Date of Birth:………………………………..Age U-10,12,14,17,19, above 19………………………………….

Guardian Name S/o, D/o…………………………………………………………………………….. M………………………………

Complete Address:………………………………………………………………………………………………………………………….
……………………………………………………………………………………………………………………………………………………..

District …………………………………………………..Compulsory Aadhar no………………………………………………

State……………………………………………………

Coach Name:………………………………………………………..Mobile …………………………………………………..

DECLERATION

NOTE: -1. In case of any INJURY or any DEATH occurs during the championship the organizing committee
of "YSAA" ALL INDIA YSAA NATIONAL LEVEL CHAMPIONSHIP 2024 Youth sports & Activities association
of (India) sponsored, hosting association, any related championship 21 to 24 June 2024, Shall not be
responsible for it.
2. Once Fees paid will not be refundable & not be any transferable.
3. If any AGE or WEIGHT problem accurse the result will be disqualify of the player.

NOTE:- All coaches and players are notified. Do bring your medical test certificate with you 2 days
before participating in this competition. And every player must have their own personal marks and
sanitizer. Otherwise it will not be allowed to participate in the competition. Thank you.

(Signature of applicant) Signature of coach (Signature of guardian