BAL VATIKA VIDYALAYA

West Mohan Bigha, Dehri-On-Sone, Rohtas, Bihar – 821307

English Medium • Co-Educational

Sports Student Joining Form – Session 2026-27

PART A – STUDENT DETAILS

Student's Name Father's / Mother's / Guardian's Name Class Section Roll No. Date of Birth Age Student ID / Admission No. Contact No. of Parent / Guardian Emergency Contact No. Aadhaar Number Aadhaar Card Photo / Document Address

Aadhaar is optional. It is kept private: the school sees it, the public status page never shows it in full, and the uploaded document is never published.

SPORTS DETAILS

Sport / Event *

Previous Sports Experience / Achievement

Previous Sports Certificate

Yes No

Sports Certificate (if any) Photograph Date of Birth Proof ID Proof

PART B – PARENT / GUARDIAN CONSENT

I, ______, parent/guardian of ______, Class ______, give my consent for my child to participate in the school's sports practice, selection trials and sports competitions conducted by or through Bal Vatika Vidyalaya.

My child will follow the school's sports rules and instructions.
Regular attendance and punctuality during sports practice are expected.
My child must maintain proper discipline and sportsmanship.
Academic responsibilities will continue along with sports activities.
The school may modify practice/competition schedules according to academic requirements, weather, safety or event arrangements.
I will inform the school about any relevant health or physical limitation that may affect my child's safe participation.

I give my consent

Parent / Guardian Name Signature (type full name) Mobile No. Date

PART C – MEDICAL FITNESS DECLARATION

I, ______, parent/guardian of ______, Class ______, declare that, to the best of my knowledge, my child is medically fit to participate in normal school sports activities, training and competitions.

Any health condition or physical limitation?

No Yes — details

Any known allergy relevant to sports?

No Yes — details

On any regular medication?

No Yes — details

Any other information relevant to safe participation

I undertake to inform the school promptly if there is any change in my child's health or ability to participate safely in sports activities.

I declare my child is medically fit

Parent / Guardian Name Signature (type full name) Mobile No. Date

MEDICAL CERTIFICATE — IF REQUIRED

Doctor's Name Registration No. Date of Examination

Fitness Status

Fit for sports participation Fit with restrictions Further medical assessment advised

Doctor's Signature & Seal — upload the certificate

PART D – STUDENT UNDERTAKING

I, ______, Class ______, agree to:

Attend sports practice regularly and on time.
Follow the instructions of the Sports In-charge, Coach and Teachers.
Maintain discipline during practice, travel and competitions.
Respect teammates, opponents, teachers, officials and school property.
Follow fair-play principles and avoid fighting, cheating or inappropriate behaviour.
Take proper care of sports equipment and uniform issued by the school.
Maintain satisfactory academic participation and complete school work regularly.
Inform the concerned teacher if I am unable to attend practice.
Represent Bal Vatika Vidyalaya respectfully whenever participating in an outside competition.

I understand that serious or repeated violation of discipline may result in suspension from practice or removal from the school sports team, as per school rules.

I accept this undertaking

Student Signature (type full name) Date

PART E – SPORTS DEPARTMENT USE ONLY

This section is completed by the school. It is shown here only so you know what the printed form contains — it cannot be filled in here.

Trial / Selection Date
Sport / Event
Category: U-14 / Other
Performance / Selection Status: Selected / Waiting List / Not Selected
Sports In-charge Remarks
Sports In-charge Name & Signature
Class Teacher Signature
Principal / School Management Approval
Date

SCHOOL RECORD CHECKLIST

☐ Registration Form
☐ Parent Consent
☐ Medical Fitness Declaration
☐ Medical Certificate, if required
☐ Student Undertaking
☐ Photograph
☐ Date of Birth Proof
☐ Required ID Proof
☐ Sports Certificate, if applicable
☐ Emergency Contact
☐ Other Competition-Specific Documents

IMPORTANT NOTE

Selection is based on trials, performance, attendance and discipline, and the decision of the school sports committee is final.
Regular attendance and punctuality at practice are required; repeated absence may lead to removal from the team.
Discipline, fair play and respectful conduct are expected at practice, during travel and at competitions.
Participation depends on medical fitness; the school must be informed of any change in the child's health.
Under-14 eligibility is decided by the date of birth recorded in the school records and the rules of the competition.

BAL VATIKA VIDYALAYA
Excellent Education • Empowered Future

Sports Competition Registration