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 Year212421232122212121202119211821172116211521142113211221112110210921082107210621052104210321022101210020992098209720962095209420932092209120902089208820872086208520842083208220812080207920782077207620752074207320722071207020692068206720662065206420632062206120602059205820572056205520542053205220512050204920482047204620452044204320422041204020392038203720362035203420332032203120302029202820272026202520242023202220212020201920182017201620152014201320122011201020092008200720062005200420032002200120001999199819971996199519941993199219911990198919881987198619851984198319821981198019791978197719761975197419731972197119701969196819671966196519641963196219611960195919581957195619551954195319521951195019491948194719461945194419431942194119401939193819371936193519341933193219311930192919281927192619251924School 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
