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1. Player Basic Information

DD slash MM slash YYYY
As on 01.01.2026
Gender(Required)

2. Contact Details

Address(Required)

3. Academic Details

4.Playing Goals & Purpose of Joining the Academy

Primary Purpose of Joining (select all applicable)(Required)

5. Availability & Training Preferences

Willingness to attend extra sessions / matches(Required)
Willingness to travel for tournaments(Required)

6. Health, Safety & Consent

Any medical insurance coverage(Required)
Consent for emergency medical treatment(Required)
Permission to use player photos/videos for academy promotions(Required)

Please review the details submitted below carefully to ensure all information is accurate before final submission.

1. Player Basic Information
Full Name (as per official records) {Full Name (as per official records):3} Edit Info
Date of Birth {Date of Birth:4} Edit Info
Age {Age:6} Edit Info
Gender {Gender:5} Edit Info
Blood Group {Blood Group:8} Edit Info
Aadhar Number {Aadhar Number:7} Edit Info
2. Contact Details
Address (Street Address) {Address (Street Address):10.1} Edit Info
Address (Locality / Area) {Address (Locality / Area):10.2} Edit Info
Address (City) {Address (City):10.3} Edit Info
Address (State) {Address (State):10.4} Edit Info
Address (Pincode) {Address (Pincode):10.5} Edit Info
Address (Country) {Address (Country):10.6} Edit Info
Father’s Name {Father’s Name:11} Edit Info
Father’s Mobile Number {Father’s Mobile Number:12} Edit Info
Father’s Occupation {Father’s Occupation:13} Edit Info
Mother’s Name {Mother’s Name:14} Edit Info
Mother’s Mobile Number {Mother’s Mobile Number:15} Edit Info
Mother’s Occupation {Mother’s Occupation:16} Edit Info
Email {Email:17} Edit Info
Emergency Contact Name {Emergency Contact Name:18} Edit Info
Emergency Contact Number {Emergency Contact Number:19} Edit Info
3. Academic Details
Grade / Class {Grade / Class:22} Edit Info
School Name {School Name:21} Edit Info
School Timings {School Timings:23} Edit Info
Academic Board {Academic Board:24} Edit Info
Academic commitments affecting training {Academic commitments affecting training:25} Edit Info
4.Playing Goals & Purpose of Joining the Academy
Professional Football Career {Professional Football Career:27.1} Edit Info
Fitness & Discipline {Fitness & Discipline:27.2} Edit Info
Scholarship / Career Pathway {Scholarship / Career Pathway:27.3} Edit Info
Recreational Learning {Recreational Learning:27.4} Edit Info
Short-Term Goals (next 6–12 months) {Short-Term Goals (next 6–12 months):28} Edit Info
Long-Term Football Goals (3–5 years) {Long-Term Football Goals (3–5 years):29} Edit Info
What do you expect from the academy? {What do you expect from the academy?:30} Edit Info
Parent’s Sport Knowledge / Experience (if any) {Parent’s Sport Knowledge / Experience (if any):31} Edit Info
5. Availability & Training Preferences
Willingness to attend extra sessions / matches {Willingness to attend extra sessions / matches:33} Edit Info
Willingness to travel for tournaments {Willingness to travel for tournaments:34} Edit Info
6. Health, Safety & Consent
Any medical insurance coverage {Any medical insurance coverage:36} Edit Info
Insurance Provider Name {Insurance Provider Name:37} Edit Info
Consent for emergency medical treatment {Consent for emergency medical treatment:38} Edit Info
Permission to use player photos/videos for academy promotions {Permission to use player photos/videos for academy promotions:39} Edit Info
Any medical conditions (if yes, specify) {Any medical conditions (if yes, specify):40} Edit Info
Allergies (food / medicine / other) {Allergies (food / medicine / other):41} Edit Info
Player & Parent Terms and Conditions(Required)

Accuracy of Information: All information provided in this form is true and correct to the best of our knowledge. The academy is not
responsible for issues arising from incorrect or incomplete details.

Medical Fitness & Responsibility : The parent/guardian confirms that the player is medically fit to participate in football training and
matches. Any existing medical condition, injury, or allergy has been disclosed. The academy is not liable for undisclosed medical issues.

Injury & Risk Acknowledgement : Football is a physical sport and involves the risk of injury. The parent/guardian and player acknowledge
and accept this risk while participating in academy activities.

Emergency Medical Treatment Consent : In case of a medical emergency, the academy is authorised to arrange necessary medical
treatment if the parent/guardian cannot becontacted. All medical expenses shall be borne by the parent/guardian.

Discipline & Code of Conduct: The player agrees to follow the academy’s rules, training discipline, and code of conduct. Repeated
indiscipline or misconduct may result in suspension or termination without fee refund.

Attendance & Commitment: Regular attendance, punctuality, and commitment to training sessions are expected. Prolonged or frequent
absence without prior notice may affect selection, evaluation, or continued participation

Trial & Selection Disclaimer : Admission, batch allocation, and match participation are based on coach evaluation and academy discretion.

Use of Photos & Videos : The academy may use the player’s photographs or videos taken during training, matches, or events for
promotional, marketing, or educational purposes (website, social media, brochures). No monetary compensation will be provided.

Communication : Official communication will be shared via WhatsApp, SMS or notice boards. Parents are responsible for staying informed.

Data Privacy : Player and parent information collected will be used only for academy operations, communication, and development
purposes and will not be shared with third parties without consent.

Declaration(Required)
  • 2026 Nilgiri Football Academy