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Athlete Registration Form

This registry is an initiative by WROHC Trust to identify, support, and develop athletes with physical disabilities and women athletes across India. Your information will help us create opportunities in training, education, competitions, and national/international exposure, enabling holistic athlete development. All data will be kept confidential and used only for sports and educational development purposes.

BASIC INFORMATION

DATE OF BIRTH (DOB)
Day
Month
Year
Gender
Male
Female
I prefer not to say
I prefer to self-describe
ADDRESS

ATHLETE PROFILE

ARE YOU A PERSON WITH DISABILITY (PwD)
Yes
No
TYPE OF DISABILITY
NATURE OF DISABILITY
Congenital (by birth)
Acquired

SPORTS DETAILS

PLAYING LEVEL
Beginner
District
State
National
International

TRAINING & SUPPORT NEEDS

DO YOU HAVE ACCESS TO COACHING
Yes
No
WHAT CHALLENGES DO YOU FACE IN PARTICIPATING IN SPORTS
WHAT SUPPORT DO YOU NEED

WOMEN ATHLETE

ARE YOU INTERESTED IN WOMEN-SPECIFIC SPORTS PROGRAMS?
Yes
No

EDUCATION & BACKGROUND

CURRENT STATUS

DOCUMENTS UPLOAD

CONSENT
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