PLAYER DEVELOPMENT PROGRAMME
TRIAL APPLICATION FORM FOR SEASON 2016/17
PLAYER DETAILS
FIRST NAME
SURNAME
DATE OF BIRTH
HOME ADDRESS
POSTCODE
TELEPHONE
EMAIL ADDRESS
HOME
MOBILE
PREFERRED PLAYER DEVELOPMENT PROGRAMME (pleas
BLOCK PROGRAMME
Mondays - Stevenage 5.30-7pm
Fridays – St Albans 5.30-7pm
ADVANCED PROGRAMME
Tuesdays – Hatfield 5-6.30pm
Wednesdays – Northolt 6-7.30pm
PLAYING EXPERIENCE
PLAYING EXPERIENCE AT FA ELITE PLAYER CAMP LEVEL
PLAYING EXPERIENCE AT FA CENTRE OF EXCELLENCE / REGIONAL TALENT CLUB LEVEL
PLAYING EXPERIENCE AT FA PLAYER DEVELOPMENT CENTRE LEVEL
PLAYING EXPERIENCE AT COUNTY SCHOOLS LEVEL
PLAYING EXPERIENCE AT ARSENAL LADIES PDP
CURRENT CLUB
ELIGIBILITY
I confirm that the player in my care (please indicate as necessary)
Was born in England
Has a Parent who was born in England
Has a Grandparent who was born in England
Has had 5 years continuous education in England and is under 16
Has a home address that is less than 90 minutes drive time from AL2 1DR
SIGNED
DATE OF APPLICATION
PARENT/CARER/GUARDIAN
(Please circle)
No applications will be considered if received after Friday 19th August 2016.
Please complete this form & return it by email to: [email protected]