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Application for Scholarship Programme
Please complete the details below to register for our Scholarship programme
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* Indicates required question
Email
*
Your email
Full Name of Player
*
Your answer
Full Name of Parent Guardian
*
Your answer
Home Postcode
*
Your answer
Parent / Guardian Contact Phone Number
*
Your answer
Player Date of Birth
*
MM
/
DD
/
YYYY
We would willing to attend a trial
*
YES
NO
I am an International Applicant
Other:
If 'Yes' I can attend a trial on
*
Friday 16th February 2024 0900-1200
9th April 2024 0930-1200
I cannot attend any of these dates
Other:
We are interested in the following package
*
Residential Package (additional costs apply)
Non Residential Package
Gender
*
MALE
FEMALE
Player Preferred Position
*
Your answer
Player Secondary Position
*
Your answer
Any medical history or development disorders we need to be aware of?
*
NO
YES (IF YES PLEASE PROVIDE DETAILS IN THE NEXT SECTION)
Medical or Development details
Your answer
Current Grassroots Team
Your answer
Where did you hear about us
Social Media
Web Site
Recomended
Holiday Camp
Other
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A copy of your responses will be emailed to the address you provided.
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