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NXT LVL Football Academy
Enquiry
Gallery
Registration
Contact
NXT LVL Football Academy
Enquiry
Gallery
Registration
Contact
Menu
NXT LVL Football Academy
Enquiry
Gallery
Registration
Contact
Facebook-f
Instagram
Term 1, 2025 Registration
Yass 2 Day Holiday Clinic registration form 18th & 19th of January 2025
Parent or Guardian Full Name
*
Player’s name
*
Date of Birth
*
2125
2124
2123
2122
2121
2120
2119
2118
2117
2116
2115
2114
2113
2112
2111
2110
2109
2108
2107
2106
2105
2104
2103
2102
2101
2100
2099
2098
2097
2096
2095
2094
2093
2092
2091
2090
2089
2088
2087
2086
2085
2084
2083
2082
2081
2080
2079
2078
2077
2076
2075
2074
2073
2072
2071
2070
2069
2068
2067
2066
2065
2064
2063
2062
2061
2060
2059
2058
2057
2056
2055
2054
2053
2052
2051
2050
2049
2048
2047
2046
2045
2044
2043
2042
2041
2040
2039
2038
2037
2036
2035
2034
2033
2032
2031
2030
2029
2028
2027
2026
2025
2024
2023
2022
2021
2020
2019
2018
2017
2016
2015
2014
2013
2012
2011
2010
2009
2008
2007
2006
2005
2004
2003
2002
2001
2000
1999
1998
1997
1996
1995
1994
1993
1992
1991
1990
1989
1988
1987
1986
1985
1984
1983
1982
1981
1980
1979
1978
1977
1976
1975
1974
1973
1972
1971
1970
1969
1968
1967
1966
1965
1964
1963
1962
1961
1960
1959
1958
1957
1956
1955
1954
1953
1952
1951
1950
1949
1948
1947
1946
1945
1944
1943
1942
1941
1940
1939
1938
1937
1936
1935
1934
1933
1932
1931
1930
1929
1928
1927
1926
1925
01
02
03
04
05
06
07
08
09
10
11
12
01
02
03
04
05
06
07
08
09
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
32
Kit Size ( Shirt size, Shorts size and Socks Adult or junior)
*
Type of Training
*
Group Training (Beginners)
Group Training ( Intermediate)
Group Training (Advanced)
1 on 1
2 on 1
Goal Keeper 1 on 1 Training
Goal Keeper Group Training
Team Training
Gender
*
Male
Female
Other
Second Player’s name
Date of Birth
2125
2124
2123
2122
2121
2120
2119
2118
2117
2116
2115
2114
2113
2112
2111
2110
2109
2108
2107
2106
2105
2104
2103
2102
2101
2100
2099
2098
2097
2096
2095
2094
2093
2092
2091
2090
2089
2088
2087
2086
2085
2084
2083
2082
2081
2080
2079
2078
2077
2076
2075
2074
2073
2072
2071
2070
2069
2068
2067
2066
2065
2064
2063
2062
2061
2060
2059
2058
2057
2056
2055
2054
2053
2052
2051
2050
2049
2048
2047
2046
2045
2044
2043
2042
2041
2040
2039
2038
2037
2036
2035
2034
2033
2032
2031
2030
2029
2028
2027
2026
2025
2024
2023
2022
2021
2020
2019
2018
2017
2016
2015
2014
2013
2012
2011
2010
2009
2008
2007
2006
2005
2004
2003
2002
2001
2000
1999
1998
1997
1996
1995
1994
1993
1992
1991
1990
1989
1988
1987
1986
1985
1984
1983
1982
1981
1980
1979
1978
1977
1976
1975
1974
1973
1972
1971
1970
1969
1968
1967
1966
1965
1964
1963
1962
1961
1960
1959
1958
1957
1956
1955
1954
1953
1952
1951
1950
1949
1948
1947
1946
1945
1944
1943
1942
1941
1940
1939
1938
1937
1936
1935
1934
1933
1932
1931
1930
1929
1928
1927
1926
1925
01
02
03
04
05
06
07
08
09
10
11
12
01
02
03
04
05
06
07
08
09
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
32
Kit Size ( Shirt size, Shorts size and Socks Adult or junior)
Type of Training
*
Group Training (Beginners)
Group Training ( Intermediate)
Group Training (Advanced)
1 on 1
2 on 1
Goal Keeper 1 on 1 Training
Goal Keeper Group Training
Team Training
Gender
Male
Female
Other
Third Player’s name
Date of Birth
2125
2124
2123
2122
2121
2120
2119
2118
2117
2116
2115
2114
2113
2112
2111
2110
2109
2108
2107
2106
2105
2104
2103
2102
2101
2100
2099
2098
2097
2096
2095
2094
2093
2092
2091
2090
2089
2088
2087
2086
2085
2084
2083
2082
2081
2080
2079
2078
2077
2076
2075
2074
2073
2072
2071
2070
2069
2068
2067
2066
2065
2064
2063
2062
2061
2060
2059
2058
2057
2056
2055
2054
2053
2052
2051
2050
2049
2048
2047
2046
2045
2044
2043
2042
2041
2040
2039
2038
2037
2036
2035
2034
2033
2032
2031
2030
2029
2028
2027
2026
2025
2024
2023
2022
2021
2020
2019
2018
2017
2016
2015
2014
2013
2012
2011
2010
2009
2008
2007
2006
2005
2004
2003
2002
2001
2000
1999
1998
1997
1996
1995
1994
1993
1992
1991
1990
1989
1988
1987
1986
1985
1984
1983
1982
1981
1980
1979
1978
1977
1976
1975
1974
1973
1972
1971
1970
1969
1968
1967
1966
1965
1964
1963
1962
1961
1960
1959
1958
1957
1956
1955
1954
1953
1952
1951
1950
1949
1948
1947
1946
1945
1944
1943
1942
1941
1940
1939
1938
1937
1936
1935
1934
1933
1932
1931
1930
1929
1928
1927
1926
1925
01
02
03
04
05
06
07
08
09
10
11
12
01
02
03
04
05
06
07
08
09
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
32
Kit Size ( Shirt size, Shorts size and Socks Adult or junior)
Type of Training
*
Group Training (Beginners)
Group Training ( Intermediate)
Group Training (Advanced)
1 on 1
2 on 1
Goal Keeper 1 on 1 Training
Goal Keeper Group Training
Team Training
Gender
Male
Female
Other
Email
*
Mobile Number
*
Current Club
Additional information or questions
Have you done any training before?
Yes
No
Description
How did you hear about us?
Name
Submit
