Palestino Football Academy | Elite Youth Soccer Training

Participant Information

Details about the player

Program Name *

Age Group *

Full Name *

Date of Birth *

Gender *

School Name *

Football Kit Size *

Child's Blood Type *

Does the child have any health issues? (Diseases, allergies, etc.) *

Yes (please specify below)

Health Issues Details (if applicable)

Contact Information

Parent/Guardian contact details

Main Contact *

Guardian's Name *

Email Address *

WhatsApp Number *

Emergency Contact Number *

Relation to Participant *

Player Experience

Tell us about the player's football background (optional)

Experience Level

Beginner - Little to no experience

Intermediate - 1-3 years experience

Advanced - 3+ years experience

Competitive - Club/travel team experience

Preferred Position(s)

Previous Clubs/Teams

Additional Information

Optional details

How did you hear about us?

Additional Comments or Questions

Authorization & Terms

Please review and accept our terms

I have read all the instructions and regulations that entitle my son/daughter to join the Palestino Academy. I am responsible for registering them in a timely manner and paying the prescribed fees. I authorize the academy to provide first aid for my son/daughter if the need arises.

I agree to the above statement and the terms and conditions, including the waiver of liability. I understand that football involves physical activity and accept the inherent risks involved. *

I authorize Palestino Academy to provide first aid to my son/daughter in case of emergency. *

I give permission for Palestino Football Academy to use photos and videos of the player for promotional purposes.

I would like to receive updates, newsletters, and promotional information from Palestino Football Academy.

Player Registration

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