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 Year212521242123212221212120211921182117211621152114211321122111211021092108210721062105210421032102210121002099209820972096209520942093209220912090208920882087208620852084208320822081208020792078207720762075207420732072207120702069206820672066206520642063206220612060205920582057205620552054205320522051205020492048204720462045204420432042204120402039203820372036203520342033203220312030202920282027202620252024202320222021202020192018201720162015201420132012201120102009200820072006200520042003200220012000199919981997199619951994199319921991199019891988198719861985198419831982198119801979197819771976197519741973197219711970196919681967196619651964196319621961196019591958195719561955195419531952195119501949194819471946194519441943194219411940193919381937193619351934193319321931193019291928192719261925School 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
