Indication of Interest Form for RG International Tours/ Camps/ Clinics

INDICATION OF INTEREST FORM

For competitions/ camps/ clinics
Athlete Details
Indication of Interest for the "Event"
Please select Event from the drop down list
Full Name
Date of Birth

YearMonthDay
Date
Passport No.
Passport Date of Issue

YearMonthDay
Date
Passport Date of Expiry

YearMonthDay
Please ensure at least 6 months validity of Passport before the selected event.
Mobile No.
Please indicate mobile number of legal guardian for athletes below 21.
Email Address of Athlete
Email Address of Athlete
Please indicate your discipline
Parent/ Guardian Details
Name of Parent/ Guardian
Contact No. of Parent/ Guardian
Email Address of Parent/ Guardian
example@example.com
Email Address of Parent/ Guardian
Declaration
By submitting this Indication of Interest, I confirm that I (or on behalf of the entrant), hereby agree and declare that
Signature of Athlete
Signature of Parent / Guardian for Athletes below 21 years old.
Should be Empty:

Athlete Details