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Shilton Soccer Academy
Registration form
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* Indicates required question
Parent name
*
Your answer
Child name
*
Your answer
Child’s date of birth
*
MM
/
DD
/
YYYY
Child’s Medical conditions - (no if not applicable)
*
Your answer
Emergency Contact number
*
Your answer
Photographic consent
*
Yes
No
Do you allow first Aid to be administered to your child?
*
Yes
No
Session enquiry .
*
Choose
Foundation 4-7 yrs 0900-1000
Development 8-11 yrs 1000-1100
Advanced 12-14 yrs 1100-1200
Goalkeeper 6-12 yrs 1100-1200
1:1 training session (outfield)
1:1 training session (goalkeeper)
Player experience
*
Choose
First session
Some experience
Plays in a team
https://shiltonsoccer.com/policies
*
Read FA safeguarding and Anti-bullying policy
Required
SSA group message sign up!
https://group.spond.com/FFJUQ
Player check list for sessions
*
Footware
Shin pads
Drink
Appropriate clothing
Required
Parents consent - sign
*
Your answer
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