Eagle Physical & Sports Academy

Sikandarpur (Kundal), Muzaffarpur, Bihar - 842001 | Helpline: +91 8298126177, 9103098497

OFFICIAL ADMISSION ACKNOWLEDGEMENT & VERIFICATION SLIP

Application ID:

Date:

Candidate Name:

Father's Name:

Mother's Name:

DOB / Gender:

Mobile: | Email:

Aadhaar Card:

Address:

Candidate Photo

Target Course(s):
Sports Training:
Physical Stats:	Height: cm \| Weight: kg	Blood / Running:	Blood: \| Target:
Hostel & Amenities:
Emergency Guardian:	(Relation: ) \| Mobile:

Declaration & Health Information: The student and parent/guardian must disclose, to the best of their knowledge, any medical condition, allergy, medication, previous injury, physical limitation, disability or other matter that may affect safe training, sports, hostel living or emergency care. This information must be updated when it changes. The academy may request more information or a medical fitness assessment before allowing or continuing participation. The academy does not diagnose medical conditions or guarantee that training is suitable for any individual. I hereby declare that all the information provided above is true and accurate. I understand that physical and athletic training involves rigorous physical exertion and I voluntarily participate in training drills.

☑ Candidate agreed to all Academy rules, fitness disclosures, hostel terms, and training regulations.

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Candidate Signature

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Parent/Guardian Signature

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Authorized Signatory (EPSA)

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