Community Football Hub Form Community Football HubSelect a Preferred Community Hub Location *Preferred Community LocationLagos, Mainland (Surulere)Lagos, IslandHerel PlayCalabar (St Patricks College)Iloko ( Olashore International School)Child’s Full name *Child’s Date of birth (DD/MM/YYYY) *DaySelect day12345678910111213141516171819202122232425262728293031MonthSelect month123456789101112YearSelect Year212621252124212321222121212021192118211721162115211421132112211121102109210821072106210521042103210221012100209920982097209620952094209320922091209020892088208720862085208420832082208120802079207820772076207520742073207220712070206920682067206620652064206320622061206020592058205720562055205420532052205120502049204820472046204520442043204220412040203920382037203620352034203320322031203020292028202720262025202420232022202120202019201820172016201520142013201220112010200920082007200620052004200320022001200019991998199719961995199419931992199119901989198819871986198519841983198219811980197919781977197619751974197319721971197019691968196719661965196419631962196119601959195819571956195519541953195219511950194919481947194619451944194319421941194019391938193719361935193419331932193119301929192819271926School Year *School Year (Primary 1.2.3.4.5.6/JSS 1.2.3 /SS 1.2.3)Primary 1Primary 2Primary 3Primary 4Primary 5Primary 6JSS 1JSS 2JSS 3SSS 1SSS 2SSS 3Subscription type (Payment to be made to GTB account sent to your email) *Sponsor a player (Send us an email)Self fundedChoose oneWith Kit (NGN 120,000 per term)Without kit (NGN 60,000 per term)Parent / Guardian Full Name *Parent / Guardian email address *Parent / Guardian Telephone number *Street AddressCityStateTraining Kit (Shirts/Shorts/Socks) - (Select one shorts and one shirt size) *Shirt Size - Small (S)Shirt Size - Medium (M)Shirt Size - Large (L)Shirt Size - Xtra Large (XL)Shorts Size - Small (S)Shorts Size - Medium (M)Shorts Size - Large (L)Shorts Size - Xtra Large (XL)PARENTAL CONSENT: * I, being the parent/guardian of the above-named child hereby give my consent for him/her to take part in the activity. In the event of any injury sustained whilst taking part in the activity during the period, I agree that neither TNUK, Southampton FC has any liability or responsibility other than carry out adequate risk assessment and providing emergency first-aid treatment as deemed necessary by the named first aider or medical staff. This treatment will cease at the end of his/her engagement with the activity. I accept that the information provided in this form may be shared to create a statistical record or for future promotions related to TNUK/Southampton FC. Photos taken and video recordings of my child during the activity may be used in the promotion of the activity.SUBMIT
