British Football Academy

Students Name*

First nameLast name

Date of Birth*

-12345678910111213141516171819202122232425262728293031-JanFebMarAprMayJunJulAugSepOctNovDec/-202020192018201720162015201420132012201120102009200820072006200520042003200220012000

Gender*

MaleFemale

School*

Please tell us which school your child goes to.

How did you hear about the British Football Academy Summer Camp?*

BFA Member or repeat camperFriend referralSchool newsletterCamp PosterFacebookInternet search

Course Selection

Please choose the camp and course you would like:

State whether it is for single day(s) or the Full Course (all 5 days).

If you wish your child to attend more than one camp please write in the comments below but for siblings please resend the form.

Camps*

Camp 1 (5~8y/o): June 30 (Mon) ~ July 4 (Fri) - 5 dayCamp 2 (9~12y/o): July 7 (Mon) ~ 11 (Fri) - 5 dayCamp 3 (5~8y/o): July 14 (Mon) ~ 18 (Fri) - 5 dayCamp 4A (5~8y/o): July 28 (Mon) ~ Aug 1 (Fri) - 5 dayCamp 4B (9~12y/o) July 28 (Mon) ~ August 2 (Sat) NO 29th - 5 dayCamp 5AM (5~8y/o) August 4 (Mon) ~ August 8 (Fri) - 5 dayCamp 5PM (9~12y/o) August 4 (Mon) ~ August 8 (Fri) - 5 day

Days*

Full campSingle day(s)

Comments

If multiple days/camps or if you have any other comments, please enter here.

BFA Member*

YesNo

If No, please input your contact information below.

Parent / Guardian Details

Name*

First nameLast name

Email*

If you use a mobile phone address, please set it to receive emails from @footyjapan.com addresses.

Confirm Email*

Telephone Number*