SayPro Participant Registration Template An online registration form template to capture personal details, performance category, and eligibility criteria.

Participant Registration Template for SayPro Neftaly Kingdom Aerobics Championship

Below is a detailed online registration form template that you can customize for the SayPro Neftaly Kingdom Aerobics Championship. This form will help capture essential information such as personal details, performance category, and eligibility criteria.

Participant Registration Form

Event Name:
SayPro Neftaly Kingdom Aerobics Championship 2025

Registration Deadline: [Insert Date]

Instructions:
Please complete the form below to register for the event. Ensure that all details are accurate and up-to-date.

1. Personal Details

• Full Name
  First Name | Last Name
• Date of Birth
  (DD/MM/YYYY)
• Gender
  ☐ Male
  ☐ Female
  ☐ Other
  ☐ Prefer not to say
• Email Address
  [Provide a valid email address]
• Phone Number
  [Provide a contact number]
• Address
  Street Address, City, Country, Postal Code
• Emergency Contact Name
  [Full Name of Emergency Contact]
• Emergency Contact Number
  [Phone Number of Emergency Contact]

2. Performance Category

Please select the performance category in which you wish to participate:

• Individual Performance
  ☐ Male
  ☐ Female
  ☐ Open Category (All Genders)
• Group Performance
  ☐ Group of 2
  ☐ Group of 3-5
  ☐ Group of 6+
  ☐ Mixed (Male and Female)
• Level of Experience
  ☐ Beginner
  ☐ Intermediate
  ☐ Advanced
• Specialty/Focus (if applicable):
  ☐ Aerobics Dance
  ☐ Strength & Flexibility
  ☐ Cardio/Aerobic Fitness
  ☐ Other (Please specify) [Text Field]

3. Health and Safety Information

• Do you have any medical conditions or allergies we should be aware of?
  ☐ Yes
  ☐ No If yes, please provide details:
  [Text Field]
• Are you currently undergoing any treatment that may affect your participation in high-intensity activity?
  ☐ Yes
  ☐ No If yes, please provide details:
  [Text Field]
• Emergency Medical Information
  Please provide any relevant information we should be aware of (e.g., blood type, medical conditions, medications).
  [Text Field]

4. Eligibility Criteria

• Have you participated in any previous aerobics or fitness championships?
  ☐ Yes
  ☐ No If yes, please provide details (e.g., event name, year, performance category):
  [Text Field]
• Are you physically fit and able to participate in a high-intensity fitness competition?
  ☐ Yes
  ☐ No
• Do you agree to abide by the event’s rules and regulations?
  ☐ Yes
  ☐ No
• Do you have consent from a guardian if you are under 18 years of age?
  ☐ Yes
  ☐ No

5. Media Release Consent

By submitting this form, you agree to the following:

• Photographs and Videos: You consent to the use of any photographs and videos taken during the event for promotional purposes by SayPro, including use on social media and websites.
  ☐ Yes
  ☐ No
• Emergency Medical Authorization: In case of an emergency, you authorize SayPro to seek medical attention on your behalf if necessary.
  ☐ Yes
  ☐ No

6. Payment Information (if applicable)

• Registration Fee:
  The registration fee for the event is [insert amount]. Please ensure your payment is completed for successful registration.
• Payment Method
  ☐ Credit/Debit Card
  ☐ Bank Transfer
  ☐ PayPal
  ☐ Other (Please specify) [Text Field]
• Transaction ID (if applicable):
  [Text Field]

7. Additional Information

• How did you hear about the SayPro Neftaly Kingdom Aerobics Championship?
  ☐ Social Media
  ☐ Email
  ☐ Word of Mouth
  ☐ Other (Please specify) [Text Field]
• Would you like to receive updates about future events and promotions from SayPro?
  ☐ Yes
  ☐ No

8. Declaration and Consent

By submitting this form, I hereby confirm that the information provided is accurate to the best of my knowledge. I acknowledge that I have read and understand the event rules and regulations, and I agree to follow them during the competition.

• Signature: [Digital Signature or Full Name]
• Date: [Date]

Submit Registration

[Submit Button]

This registration form ensures that all necessary details are collected for a smooth and organized event. You can customize it further based on specific requirements or platform functionalities. Would you like to make any adjustments or add specific sections to the form?