skating carnival race entry form 2017 (PDF)

Name: __________________________________________________________________________________
Address: ________________________________________________________________________________
Phone no: ______________________________ E-mail id: ________________________________________
Date of Birth:

D

D

M M Y

Category: Quads
Please select [

AGE
GROUP
:

Y

Y

Inline

Y

Male

| Female

Beginners (Strapped Skates)

Recreational Inline

 ] the appropriate.
Under-5
2013 &
After

5 to 6
2012

6 to 8
2011 &
2010

8 to 10
2009 &
2008

10 to 12
2007 &
2006

12 to 14
2005 &
2004

Above-14
2003 &
Before

Club /District: __________________________________________ Coach:____________________________
Entry Fees : Rs.800.
* RSFI rules & Regulations will be followed. Decisions by the officials will be final & binding.
* In Case of Any Accidents or Injuries during the event the Organizers will not be held responsible.
* Recreational Inline max wheel size 90mm & high ankle boot.
Age group: As on 31st Dec 2017)

Skaters Signature

Age Group :
Category :
Boys/Girls :

Parents Signature.


(Parents Copy)

Name: __________________________________________________________________________________
Age group:___________________________________Category:___________________________________
Club representing: _______________________________________________Race No:_________________
Entry Fees : Rs.800

SCHEDULE
22nd April 2017 (Saturday)
23rd April 2017 (Sunday)
8to11am: Open Practice Session
7.30am Onwards : Long Races
3to6pm: Short Race Qualifiers
followed by Fun Games, Prize
Distribution & Closing
6to8pm: BREAK
Ceremony at 11.30am.
8pm: Finals of Short Race

For More Details Call : 9890657955 / 9890646569 /
9970180976 / 9890002657.
Venue :- Velocity Entertainmentz Go-Karting Track,
Panchgani – Mahableshwar Road, Panchgani.
600 mts Asphalt Road Circuit Ideal for Speed Skating Races.
Two Races will be conducted, SHORT RACE & LONG RACE.

FIRST 5 SKATERS WILL GET PRIZES IN EVERY RACE