Player Registration

Player Registration

Telephone: 870-333-3585/954-317-3795/954-317-3440 Email: info@kabaddipanam.com Website: kabaddipanam.com
Applicant Information
Title
Name of Company
Name

First NameLast Name
Gender
Email
example@example.com
Phone Number
Date of Birth

MonthDayYear
Date
Phone Number
Please enter a valid phone number.Format: +(00)000000000.
Residence Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
City
Country
Nationality
Country of Birth
Residency/Visa Status
Insurance Information
Health insurance, Sports injury insurance
Emergency Contact Name

First NameLast Name
Emergency Contact Relationship
Emergency Contact Phone
Please enter a valid phone number.Format: (000) 000-0000.
Player Details
Weight
in KG
Height
in cm
Shoes Size
in UK Size
Uniform/Shirt Size
in UK Size
Player Preferred Position
Raider, Defender, All-Rounder
Skill Level Assessment
Beginner, Intermediate, Advanced
Association with Club or League
Name of Club or League
Previous Teams/Clubs
Name of Club or League
Kabaddi Experience
In Years
Shoes Size
Email
example@example.com
Website
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Style
Club Official's Name

First NameLast Name
Club Official's Address

Street Address

Street Address Line 2

CityState

Zip CodeCountry
How did you hear about USA Kabaddi?
Do club/league host any kabaddi tournaments?
Style
Any Kabaddi facilities?

Other
How many members?
Website:
Facebook:
Membership Details
Membership Category
Past Achievements
Tournament/Event Participation
Comment/Suggestion:
by laws acknowledgement

I/We hereby declare to abide to the bylaws, rules, regulations of the USA Kabaddi Association and World Kabaddi in effect and hereafter adopted from time to time.
Applicant Photo

jpg, jpeg, png only
Cancelof
Registration Date

MonthDayYear
Date
Should be Empty:

Player Registration

Applicant Information

Player Details

Membership Details

by laws acknowledgement