Player Registration

Section 1

Child Information

First Name *

Middle Name

Last Name *

Gender *

Date of Birth *

Nationality

Residential Address *

School Name

Preferred Position

Dominant Foot

Previous Club

Playing Experience

Section 2

Parent or Guardian Information

First Name *

Middle Name

Last Name *

Relationship *

Phone Number *

Alternative Phone

Email Address *

Occupation

Residential Address *

Identification Type

Identification Number

Section 3

Emergency Contact

Full Name *

Relationship *

Phone Number *

Alternative Phone

Section 4

Medical Information

Child has a medical condition

Medical Condition Details

Child has allergies

Allergy Details

Current Medication

Previous Injuries

Doctor Name

Doctor Phone

Additional Medical Notes

Section 5

Program Selection

Requested Program *

Preferred Team

Preferred Schedule

Section 6

Declarations and Consents

I confirm that the information provided is complete and accurate. *

I consent to the use of the medical information for player safety. *

I authorise reasonable emergency treatment when necessary. *

I accept the YFDA Football Academy rules. *

I accept the terms and conditions. *

I accept the privacy policy. *

I consent to the appropriate use of player photographs by the academy.

I consent to academy-arranged transport where applicable.

Parent or Guardian Full Name * This name must match the parent or guardian name entered above.