Oath Form 2024

Download as pdf or txt
Download as pdf or txt
You are on page 1of 1

SPORTSMANSHIP OATH & CONCERN FORM

STATE HARYANA DISTRICT …………………………………………………………

RSFI APPLICATION /REGD.NO. ………………………

Name ............................................................................... M/F

Father/Mother Name…………………………………………………………………………………… SKATER PHOTO

Coach’S Name……………………………………………….……………………………………….. Paste here

Residen al Address…………………………………………………………………………………….

Tel. Res. ………..……………….….o . ………………………...………..EMAIL………………………………………………………………………………..

Date of birth ( Day / Month/ Year ) …………………………………………….....Place of birth…………………………………………..

Discipline : Speed quad/ inline , Roller / inline Hockey,Other………………………………... ) Age Group………………………………

Name , Address & Phone No of any one ( School/collage in case of student /O ce in case of employed )

………………………………………………………………………………………………………………………………………………………………………………

……………………………………………………………………………………………………………………………………………………………………………
1. I ________________________________________hereby declare that all the informa on given by me is best of my knowledge.
2. I Ensure that I shall not drag the name of the Game & Championship in bad ways in any manner in Social Media or print media.
3. I shall not oppose any decision taken in the view of be erment of the Game as well as Championship by
my coach/manager/Organising commi ee/District/State/Associa on & Na onal Federa on.
4.I also ensure that I shall not cause any harm to the Game (Championship)/Players/O cials/Spectators and damage to the property during the Championship.
5. I, hereby take the Oath to follow all the Rules & Regula ons laid by the Championship commi ee for the smooth & authen c ow of the Championship
and if I fail to do so, I would accept any ac on taken by District Associa on /State Associa on/ Organising commi ee/Coach/Manager/Federa on.
6. The DRSA/HRSA/ RSFI/Organizing Commi ee will not be Held Responsible For Any Compensa on Or Otherwise In Case Of Any Injury Or Loss Of Life.
I Have Read And Understood The Rules And Regula ons Governing The Championship And Agree To Abide By The Same.
I Shall Uphold Sportsmanship And Par cipate In The Championship In The True Spirit Of The Game, Shall Uphold And Be Bound By The Decision Of The
Organizing Commi ee. I Declare That My Ward is Taking part in concerned Roller Ska ng Championship. I Hereby Acknowledge The Risks Associated With
Championship Under any Situa on. I Hereby Accept That The Risks Involves, Necessary Precau ons And Protocols For Roller Ska ng
Championship Have Been Duly Informed To Me By Organizing Commi ee .The Organizing Commi ee Will Not Be Responsible For Any Causes .
7. THE CHAMPIONSHIP WILL BE CONDUCTED AS PER THE R.S.F.I /H.R.S.A REGULATIONS AND NORMS PREVALENT AT THE TIME OF THE EVENTS.

Signature of Parent :

Aadhar ID . No……………………………………………..

Thumb Impression

NAME OF STATE ASSOCIATION : HARYANA ROLLER SKATING ASSOCIATION Signature & Seal ( H.R.S.A)

This Form is to be lled with Skater details & then signed by Parent and submi ed with D.R.S.A for further process.

1

ti
tt
fi
ti
tt
ti
ff
ti
tt
ti
tt
ti
ti
tt
ti
ti
ti
ffi
ti
ti
ti
tt
ti
tt
tt
ffi
ti
tt
ti
ti
fl
ti

You might also like