Sports Karate is my Game Summer Coaching Camp 2005
Organised by
Trivandrum District Karate Association
Jimmy
George Indoor Stadium, Trivandrum
April
3rd to May 30th 2005.
Contact
no: 98474226033 ,0471- 2740479 Chief
Coach : SHIHAN SHIBISUDEVAN NIS
REGISTRATION FORM
Name :
Date of Birth :
Class School :
Name of Parent :
Occupation :
Residential Address :
Contact Telephone No :
Venue Timings Day Option
Jimmy GeorgeIndoor Stadium : 05.30 PM to 06-30 PM Monday / Saturday
08.30
PM to 10.30 PM Sunday
Fees Rs. 250/- per month (Includes registration and coaching) Interested students (both beginners and regular players) may submit this registration form along with the fees of Rs. 250/- at Karate Class in the Jimmy George Indoor Stadium. All registered students are to report at JIMMY GEORGE INDOOR STADIUM, Vellayambalam. Trivandrum at 8.30 AM on Sunday3rd April 2005 .The timing / Venue are subject to alteration to suit organisational convenience and will be confirmed on 3rd April, 2005.
Dress Code : Boys : 'T' Shirts, Karate Uniform
Girls
: 'T' Shirts, Skirt or Karate Uniform
For Office use only
Reg. No ………………………………… category . …………… Height ………………
Reg. Amount Paid …………………….. Venue ……………….. Weight……………….