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New Player Registration
Parent/Guardian Details
Full Name
*
Email
*
Phone Number
*
Relationship to Player
*
A
Parent
B
Guardian
C
Other
Player's Full Name
*
Date of Birth
*
Development Phase
*
A
Foundation 8-10 years
B
Development 11-13 years
C
Performance 14-16 years
D
Refinement 17-19 years
Playing Experience
*
A
New to football
B
Recreational Club football
C
Performance or Representative
D
Other
Medical Conditions or Requirements
*
Emergency Contact Name
*
Emergency Contact Number
*
Photo/Video Consent for Marketing
*
A
Yes I accept
B
No I don't accept
Consent
I confirm the above information is accurate and consent to my child's participation in Forma Academy programs, including emergency medical treatment if required.
Signature
*
Signature
Submit