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Football Set

First name *

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Surname *

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Date of Birth *

/ / Please enter your date of birth

Email address *

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Phone number *

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Please select the team you are trialling for *

Women's TeamMen's Team Please select the team you are trialing for

Emergency conact (parent/carer full name) *

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Emergency contact number (parent/carer phone number) *

Please enter the contact number for your emergency contact

Current school *

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Current football club *

Please enter your current football club name

Which position do you play? *

Please tell us which position you play

Which year are you due to start? *

September 2025September 2026 Please select an option

Do you have any medical conditions? *

YesNo Please tell us whether you have any medical conditions

Please specify *

Please specify your medical condition

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