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Coventry U18 Trial application, 2022-23 seassion
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Email
*
Your email
Player Name
*
Your answer
Age Group (this current seasion)
*
U16
U17
Other:
Which Date would you like to attend
Monday 25th April 17.00/19.00
Monday 9th May 17.00 / 19.00
Monday 16th May 17.00/19.00
Other:
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Postion
*
1
2
3
4
5
6
7
8
9
10
11
12
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14
15
Other:
Parent/ Guardian Email
*
Your answer
Address
*
Your answer
Phone number
*
Your answer
Players date of Birth
*
MM
/
DD
/
YYYY
Emergency Contact Name
*
Your answer
Emergency Contact Number
*
Your answer
2nd Emergency Contact Name
*
Your answer
2nd Emergency Contact Number
*
Your answer
Please List Any Medical Conditions
*
Your answer
Please List Any Medications Taken
*
Your answer
Please List Any Allergies
*
Your answer
Photo Consent
*
Yes, I am happy for my child to be photographed during the session.
No, I would not like my child to be photographed during the session.
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