Academy Registration

Is this your first time registering for one of our academies?*
- Yes
- No
Child's Name*
Child's Date of Birth*

DD
MM
YYYY
Parent/Guardian Name*
Email*
Mobile Tel*
Select Academy Term*
Existing Reference Number*
Medical Consent
Does your child have a medical condition?*
- Yes
- No
Medical condition details:
Does your child have any allergies?*
- Yes
- No
Allergy details:
Special needs details:
Does your child have any special needs that our staff should be aware of?*
- Yes
- No
Parental Consent
I give permission for my child to be given medical treatment either by way of first aid by a suitably qualified person or by a doctor*
- Yes
- No
I give permission to bring my child to a hospital or doctor in the case of emergency*
- Yes
- No
I give permission for my child to be photographed/filmed for promotional purposes on our website and social media platforms*
- Yes
- No
Total Football Academy cannot accept responsibility for injuries that may occur as a result of academy training*
- I Agree
- I Disagree
Captcha

Anthony O'Neill
Technical Director
083-1771040
a.oneill@totalfootball.ie

Robin O'Day
Director of Coaching
083-1503511
r.oday@totalfootball.ie

Medical Consent