Registration for First Eleven Football Trial

Full Name *

Email *

Amount (NGN) *

Football Trial Registration

"*" indicates required fields

Gender*

Female

Male

Phone*

Address*

Date of Birth*

Must be between 12 and 19 year old

Country of Birth*

Nationality*

Height*

in meters

Weight*

in kilograms

Playing Position*

Guardian's Name [If applicable]

First Last

Occupation

Mobile Number

Email*

Have you played for any football club/s previously? (if yes, specify)*

Yes

Specify

Do you have any allergies? (if yes, specify)*

Yes

Specify

Do you have any pre-existing medical condition /s or injuries? (if yes, specify)*

Yes

Specify

Any other information? (optional)

Upload Parents/Guardian consent letter (if applicable)*

Accepted file types: jpg, png, pdf, Max. file size: 5 MB.

Upload Parents/Guardian consent letter (if applicable)

Name

This field is for validation purposes and should be left unchanged.

* are compulsory
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