TEKKERS FOOTBALL & FUTSAL ACADEMY PLAYER REGISTRATION
Please complete one form per child
Email address *
Session 1 *
Session 2 (if applicable)
Child's First Name *
Your answer
Child's Surname *
Your answer
Child's Date of Birth *
MM
/
DD
/
YYYY
Address *
Your answer
Medical Conditions/Allergies/Medication *
If none, please write 'not applicable' or 'N/A' in the box below. If any of this information changes you must complete another registration form to update these details.
Your answer
Parent/Carer's Name *
Your answer
Parent/Carer's Mobile Number *
Your answer
How did you hear about us? *
If someone recommended us, please write their child's name below.
(This child will receive a free session)
Your answer
Payment Method *
*
Required
I agree to be contacted via email by Tekkers Football & Futsal Academy *
Required
Thank you for completing the player registration form. We will be in touch via text or email within 48 hours to confirm your child's registration.
A copy of your responses will be emailed to the address you provided.
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