Contact information
Thank you for registering your interest in Open Training at Eastleigh ITC FC. Please complete the form before you attend any sessions. Please note, If you are already signed for a club we can't contact you until 1st June 2024.
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Email *
Are you currently signed for a club ?
 *
Player's Full Name *
Parent / Guardian Name *
Parent / Guardian Phone number (unless over 18 put then your phone number) *
Players Date Of Birth *
MM
/
DD
/
YYYY
PLEASE NOTE WE WILL CONTACT YOU BEFORE THE OPEN TRAINING SESSION - School years from Sept 2024 *
Required
Positions trialing for ?
Players Football History
Please provide any Medical History *
Consent:  I understand that at Eastleigh In The Community FC, this trial is non contact but that there is a risk of injury involved in playing football. I authorise any official from Eastleigh ITC FC, in the event of any injury or illness, to obtain on my behalf any medical assistance, treatment and transportation as deemed necessary.                                                                                                                                                              Indemnity: Except where provided or required by law and such cannot be excluded, I agree that Eastleigh ITC FC and its respective directors, officers, members, servants or agents are absolved from all liability however arising from injury or damage to the person named above, however caused, arising whilst participating in these trials. I have read, understood and agree to the above terms.  I warrant that all information provided is true and correct. *
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A copy of your responses will be emailed to the address you provided.
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