Entry Form – DDRSA 2026

OPEN DISTRICT ROLLER SKATING CHAMPIONSHIP 2026

ORGANIZED BY

DHARWAD DISTRICT ROLLER SKATING ASSOCIATION (R)

Affiliated to Karnataka Roller Skating Association

Mob: 9740301242 / 9845052647

ENTRY FORM | Entry Fee: ₹500/-

1. Skater Name *
(In block letters)

2. Gender *

Male

Female

3. Date of Birth *

4. Age Group *

Below 6 Yrs	6 to 8 Yrs	8 to 10 Yrs	10 to 12 Yrs	12 to 15 Yrs	15 to 18 Yrs	Above 18
2021 & Above	2018–2020	2016–2017	2014–2015	2011–2013	2008–2010	2009 & Below

5. Father / Guardian Name & Address *

5a. WhatsApp No *

6. Representing Club *

Type of Skates *

Tenacity

Recreational Inline

Events

Rink I

Rink II

Rules:

Skater must wear hard helmet & report 30 min before given time.
Any protest or request will be through coaches only with protest fee of ₹3000 as per rule.
Schedule is subjected to change as per weather / Technical requirements.

I on behalf of my ward confirm and declare that any injury/damages/loss caused during the above championship to myself/my ward, the club I am/my ward representing, the Organizers/DDRSA/officials will not be held responsible or liable for the same.

I/my ward also confirm and declare that I/my ward am/is aware of all the latest Rules and Regulations of RSFI/KRSA and of the events selected and agree to abide by the same.

I accept the above declaration *

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