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BIRMINGHAM U16 ASSESSMENT DAY/TRIAL: 19TH APRIL 2026 @RAISEURGAME

*Disclaimer* All players will undergo an initial assessment. Players that are selected will be offered a place at the 6 week showcase academy wherein upon completion of programme players will be granted to play in front of scouts.

PLEASE NOTE: SPACES ARE LIMITED.

Full Name

Age

Address

Postcode

Date Of Birth

Contact Number

School Year

Email Address

Height

Social Media Handle (Instagram/Tik-Tok/X)

Parent/Guardian Name

Parent/Guardian Email

Parent/Guardian Phone Number

Past Injuries

(Allergies) Medical History

Preferred Position

Current Club

Previous Clubs

Preferred Foot

Left Foot

Right Foot

Highlight Reel

Size limit: 10 MB

Payment

Do you agree that videos & photos may be used on social media for marketing purposes?

Yes

Are you available for the assessment day on 19.04.26 (19th April 2026)

Yes