Solo Sports Academy RegistrationFull NameDate of BirthGender Male Female Prefer not to sayParent or Guardian informationParent/Guardian NameRelationship to ApplicantPhoneEmailPhysical AddressEmergency ContactNameRelationship to ApplicantPhoneEmailFOOTBALL EXPERIENCEDoes the applicant have any prior experience playing football? Yes No please specify e.g., school team, club team, sports academy, years of experience etc.Briefly describe the applicant's strengths and areas for improvementMEDICAL INFORMATION Please answer yes or no to the following questions. If you answer yes to any question, please provide details in the space provided. Does the applicant have any medical conditions? Yes NoPlease specifyHas the participant ever experienced any fainting spells, seizures, or concussions? Yes NoPlease specifyDoes the participant have any history of asthma or breathing problems? Yes NoPlease specifyDoes the participant have any limitations on their physical activity? Yes NoPlease specifyPlease list any medications the participant is currently taking, including dosage and frequency.Physician InformationPhysician NamePhone Number I acknowledge that I have read and understood the academy/school rules and regulations. I hereby grant permission for the academy/school to use photos and videos of my child for promotional purposes, unless otherwise notified.Submit Download our full registration form Download
