Football Academy Booking Form 2012/2013

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Select Football Academy
Select Dates

Please select an academy from the list above.

Time(s) and Venue(s)

Please select an academy from the list above.

 
Player Details
First Name Surname
Date of Birth / / Current Age

Please select your DOB.

Email Address Confirm Email Address
Mobile Number
Address 1
Address 2
Town/City
County
Post Code
 
 
Parent/Guardian Details
First Name
Surname
Email Address Confirm Email Address
Mobile Number
Home Number
 
 
Education Details
Current School / College
Current Year Group
If you are currently attending Sixth Form or FE College, please list the qualifications you are studying or have completed
A - Levels

List Qualifications Here.

BTEC


NVQ


Other
(Please State)

 
 
Football Details
Playing Position 1st Choice 2nd Choice
Current Club
Previous Clubs
Please give a brief description of your football career.
Do you have any current/previous injuries or medical issues that the Football Club should be aware of?

Please enter details below:

 
 
TERMS & CONDITIONS

SCL only manage the education and administration of all football Academies they partner.

SCL shall not be liable for cancellations, injuries, loss or damage to property arising from attendance at the trial.