Join Premier Football Academy – Premier Football Academy

PARENT NAME 1

PARENT NAME 2

PARENT EMAIL

ADDRESS

POST CODE

PHONE PARENT 1

PHONE PARENT 2

LOCATION

SCHOOL

SCHOOL YEAR

ANY MESSAGE?

PLAYER NAME

PLAYER D.O.B.

PAST EXPERIENCE

JUNIOR/PRO CLUB

Has your child or anyone in the close family ever been diagnosed as having a heart murmur or arrhythmia?
YesNo

ANY ALLERGIES?

MEDICAL CONDITIONS/DISABILITIES?

I understand that this form collects my name and email address so I can be contacted. (For more information, please check our Privacy Policy)

I agree to Premier Football Academy Terms and Conditions (For more information, please check our Terms and Conditions)

I agree to filming my child and understand that training sessions are filmed using out VEO system for player development, watching matches back for education purposes and may be used in promotional material including print and social media.