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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

Preferred Foot

Highlight Reel


Payment


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

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

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

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