Contact - Please fill out the registration form below to get a chance to join our academy Now!

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First Name

Middle Name

Last Name

Date Of Birth

Gender

Male
Female

Address : Street

Plot Number

District

Athlete Phone Number

Athlete Email

Name of emergency contact

Phone number of contact

Name of School

Class / Grade

Name of (Contact) Teacher

Role of Teacher

Name of Father

Further's surname

Phone Number

Email

Name of Mother

Mother's surname

Phone Number

Email

Family Status

Married
Single
Divorced
Other

Have you played and registered for another football club/Academy?

Yes
No

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