Registration Form October 2023

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Real Madrid Foundation Clinic Malaysia 21 - 27 October 2023

Email *

What is the Participant / Player's full name? *

Please make sure that their names are spelled correctly as this will appear on their Certificate of Completion awarded at the end of the clinic.

What is the Participant / Player's Date of Birth? *

YYYY

What is the Participant / Player's gender? *

Male

Female

What is the Participant / Player's age on or before 27 October 2023? *

Required

What position on the team does the Participant / Player prefer? *

Goalkeeper

Field Player

Please choose the age group of the Participant / Player *

Under 12 (4 to 11 years old)

Under 18 (12 to 17 years old)

Please choose which clinic would the Participant / Player like to play in? (Please note: The Participant / Player can choose to enter both clinics)

For Age 4 - 11 years - Please choose the AM sessions

For Age 12 - 17 years - Please choose the PM sessions

**CLINIC 1 IS IN SESSION - REGISTRATION IS CLOSED

**PLEASE CLICK CLINIC 2 ONLY

AM Sessions (8:30am - 11:15am)

PM Sessions (12:15pm - 3pm)

Clinic 1 [CLOSED]

Clinic 2

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Does the Participant / Player have any medical conditions, health problems, or allergies?

(Please key in No / Yes. If Yes, please fill in the conditions)

What school does the Participant / Player attend? (Name of School) *

How will the Participant / Player get to the venue? *

Private Vehicle (Car / Motorbike / Van etc)

Public Transport

E-hailing

If the Participant / Player is arriving with a Private Vehicle, please provide us the vehicle license number for security concerns.

Please key in "N/A" if the Participant / Player is arriving via Public Transport , E-hailing OR if you are an ISKL parent with access

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