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Booking Form

This form is only for trialists who have already booked and paid for a place on a trial or who have been asked to complete a form by a Pro11 member of staff.

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

Date of trial *

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/Guardian if under 18) *

Player Contact Email Address (Parent/Guardian if u18) *

Parent / Guardian / Emergency Contact Telephone Number

Parent / guardian email address *

1st Preferred Playing Position *

2nd Preferred Playing Position

Predominant Foot (Right/Left)

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, as well as any trials or development centre experience *

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 (PLAYERS AGED 16+ 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)?

Facebook
Twitter
Instagram
Pro11 Website
Invited by a Pro11 Coach
Advert at venue
Recommendation / Referral
Returning Customer
Other

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-pro11-trials/

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

Date

Comment

About Us

At Pro11 we have been providing young players with opportunities since 2018. Our dedicated team of coaches, many of whom are scouts themselves, know what standards need to be achieved to play professional football and we’re proud to have helped 100s of players achieve their goals!

Contact Info

info@pro11trials.co.uk

0161 850 8787

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