Booking Form

This form is only for trialists who have already booked and paid for a place on a trial. Player Registration must be completed no later than 1 week prior to your trial date. If you have booked a space where the trial is taking place before 1 week's time, please complete this form NOW

(Click here to open this Booking Form in a new tab)

Date of trial event booked (please only complete this form if you have already booked a place at one of our trials) *

First Name *

Middle Name

Surname *

Date of Birth (dd/mm/yyyy) *

Age in years (at the time you will attend trial) *

Playing Age Group (at the time you will attend the trial) - u/ *

Players' full residential address (including postcode) *

Player’s Contact Telephone Number (Parent if under 16) *

Player Contact Email Address (Parent if u16) *

Parent / Guardian / Emergency Contact Telephone Number

Parent / guardian email address *

1st Preferred Playing Position *

2nd Preferred Playing Position

Describe yourself as a player / please provide any additional information we might need to know

OPEN TRIAL PLAYERS ONLY - please provide name of grassroots club currently playing for, and let us know about any academy experience you have *

EXIT TRIAL PLAYERS ONLY - please list your academy experience, including club signed for, years from and to you were signed there, what level (ie Academy, Development etc), and any recent trials

Passport Information (Open Age Players Only - this may help with international agency interest)

Please advise what kind of passport the player currently holds e.g. UK, Irish, European etc. This is so that we can consider any potential international opportunities for you if required

Medical Information *

Please advise of any current or ongoing medical conditions that may be relevant to your trial. Please also feel free to speak to a member of staff in confidence about any concerns. If none please write 'None' or N/A

Do you require pitchside inhaler? If so please ensure you bring this with you on the day.

No
Yes

Where did you hear about the trial today (please tick as many boxes as are relevant)?

If Other selected please say where you heard about us:

Please provide your username on Facebook, Instagram or Twitter so that we can follow your progress:-

Choice 1

I confirm that I have read and understood the Terms and Conditions of Booking www.pro11trials.co.uk/terms-and-conditions

This form has been electronically signed by (please type your name)

Date

This form is only for trialists who have already booked and paid for a place on a trial. Player Registration must be completed no later than 1 week prior to your trial date. **If you have booked a space where the trial is taking place before 1 week's time, please complete this form NOW**

This form is only for trialists who have already booked and paid for a place on a trial. Player Registration must be completed no later than 1 week prior to your trial date. If you have booked a space where the trial is taking place before 1 week's time, please complete this form NOW