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Registration 2025-26 Term 2

Child's Full Name

Gender

Male Female

Child's Date of Birth

Current Football Club (if any)

Any medical Conditions?

Yes No

If yes to above medical question, please specify

Parent/Guardian Full Name

Address

Phone Number

Emergency Contact

Emergency Phone Number

Sessions (Multiple answers can be selected if required)

Training - Wednesday Evening (Horizon International School) Training - Thursday Evening (Venue TBC) Training - Saturday Morning (Horizon International School) The Youth Futsal Series (Must also select one or more of the above academy training sessions to compete in this competitive games program)

Social Media Consent

I "Parent/Guardian" give consent to "THE FUTSAL ACADEMY" to photograph or digitally record and use images or videos of my child to use in any public media, including internet, social media or print.

EVENTS

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Registration 2025-26 Term 2

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Futsal made me