G-BALL REGISTRATION FORM

Please fill out the details below to register your child with G-Ball Academy. Please be sure to note, there is a registration fee of $100. Weekly training fees are $30 per week. Your registration fee must be received before you can start training sessions. Weekly training fees can be paid weekly or monthly.

Player's Information

Player First Name *

Player Last Name *

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Player Date Of Birth *

Player Age Group *

Parent/Guardian Information

Parent/Guardian 1 Name *

First

Last

Parent/Guardian 1 Phone *

Parent/Guardian 1 Email *

Parent/Guardian 2 Name *

First

Last

Parent/Guardian 2 Phone *

Parent/Guardian 2 Email *

How do you prefer to be contacted?

Email
Phone
WhatsApp

Home Address

Address *

Address Line 1

Address Line 2

City

State / Province / Region

Postal Code

Country

Education

Primary School *

Middle School

Senior School

Football Information

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Dominant Foot *

Preferred Position *

Check all positions previously played *

Goalkeeper
Right Full Back (Wingback)
Center Back
Left Full Back (Wingback)
Defensive Midfielder
Right Midfielder
Center Midfielder
Left Midfielder
Forward (Striker)

Future Goals & Aspirations *

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Favorite Football Team *

Instagram (If Available)

Favorite Football Player *

Website or Other Media Channel

Payment & Agreement

I confirm that my child and I have read the rules as it pertains to participating with G-Ball Academy. I also agree to make payments as per the schedule outlined on this registration form. During my Childs participation with G-Ball Academy, they and any sub contractor chosen by G-Ball Academy have my permission to capture and distribute video or photos of my child.

I plan to pay $100 registration fee and $30/week training fee by *

Online Transfer (Account details will be emailed)
Cash

Your Name *

Enter the name of the parent or guardian who has completed this registration and signed below.

Signature *

Clear Signature

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