NOVA SPORT ACADEMY

NOVA SPORT
ACADEMY

Registration & Application Form

Welcome to Nova Sport Academy! Please complete this form to register your child for our football development program. We will contact you within 48 hours to schedule a trial session.

Section 1: Player Information

Player's Full Name *

Date of Birth *

DD/MM/YYYY format

Age Group *

Nationality *

QID Number (if applicable) *

Current School *

Current Grade / Year Level *

Preferred Playing Position(s) *

Goalkeeper Defender (Center Back) Defender (Left/Right) Midfielder (Defensive) Midfielder (Attacking) Midfielder (Left/Right) Forward (Center Striker) Forward (Left/Right Wing) Not sure yet

Previous Football Experience

Years Playing Football *

Section 2: Parent / Guardian Information

Parent/Guardian Full Name *

Relationship to Player *

Phone Number (WhatsApp Mandatory) *

Email Address *

Emergency Contact Name & Number *

Section 3: Medical & Health Information

Medical conditions? *

Regular medication? *

Physical limitations or injuries?

Emergency Medical Consent *

Section 4: Goal & Commitment

What is your goal for joining Nova Sport Academy? *

Section 5: Consents & Agreements

Photo & Video Release *

Terms and Conditions Agreement *

Section 6: Payment & Referral

How did you hear about Nova Sport Academy? *

Registration Fee Payment Confirmation *

Registration