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*

MaleFemaleTransgender
Email*
example@example.com
Phone Number*
Date of Birth*

MonthDayYear
Date
Phone Number*
Please enter a valid phone number.
Residence Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
City*
Country*
Nationality*
Country of Birth*
Residency/Visa Status*

CitizenStudent VisaWork Permit/VisaPermanent Resident
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.
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

NationalCircleBeach
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?

Women’s team?Youth team?Men’s team?Other
How many members?
Website:
Facebook:
Membership Details
Membership Category

National Style MembershipCircle Style MembershipBeach Style MembershipIndividual MembershipVolunteer MembershipYouth MembershipReferee MembershipUmpire MembershipScorer Membership
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