Wiltshire County FA Advanced Coaching Centre Trials 2017/18
Players Details Form
Player Details
Name: Click here to enter text.
D.O.B: Click here to enter text.
Address: Click here to enter text.
Postcode: Click here to enter text.
Medical Details (Please indicate any medical conditions we should be aware of): Click here to enter text.
Age Group (School Years below are from 1st September 2017)
Phase 1 trial dates are for players who were not in an FA ACC or Regional Talent Centre during the 2016/17 season and players are
encourage to attend both dates where possible.
Phase 2 trial (Invite only) is for players invited following the Phase 1 trials and for players’ part of an FA ACC or Regional Talent Club
during the 2016/17 season.
Phase 1
Phase 1
Phase 2 (invite only)
Saturday 8th July
Monday 10th July
Saturday 15th July
U12s
9.30-11.30am
6.00-7.30pm
9.30-11.30am
(School Years 6/7)
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Phase 1
Phase 1
Phase 2 (invite only)
Saturday 8th July
Monday 10th July
Saturday 15th July
U14s
12.00-2.00pm
7.30-9.00pm
12.00-2.00pm
(School Years 8/9)
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Phase 1
Phase 1
Phase 2 (invite only)
Saturday 8th July
Monday 10th July
Saturday 15th July
U16s
2.30-4.30pm
7.30-9.00pm
2.30-4.30pm
(School Years 10/11)
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Current Club:
Click here to enter text.
School:
Click here to enter text.
Playing position
(please tick most
relevant):
Goalkeeper
Defender
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Midfielder
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Forward
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Parent/Guardian Details
Name:
Click here to enter text.
Email:
Click here to enter text.
Home Number:
Click here to enter text.
Mobile Number:
Click here to enter text.
I hereby give consent for my daughter to participate in the following activity. I acknowledge that the Wiltshire FA ACC, its staff, or any
facility, is under no liability in respect of injury, which may be sustained. I also note that photographs and video footage may be taken by
authorised personnel for both marketing purposes and the County FA website.
Signed: Click here to enter text.
Date: Click here to enter text.
Please send your completed electronic trial form to Tim Hall, WCFA Football Development Officer at [email protected] or post to
the following address: Unit 2/3 Dorcan Business Village, Murdock Road, Swindon, Wiltshire, SN3 5HY.
*Trials forms need to be returned by no later than Friday 30th June 2017.