WSL Academy Pathway Form

Player's Full Name*

First Name

Last Name

Player's Date of Birth*

Player's Age

Full Address

Address Line 1

Address Line 2

City

County/Region

Postcode

Who does the player currently play for?

What is the player’s primary position?

Goalkeeper Defence Midfield Forward

What is the player’s secondary position?

Goalkeeper Defence Midfield Forward

Is the player left or right footed?

Left Right

Has the player represented or been part of any International Youth Competition, Friendlies, and/or camps?

Yes No

If Yes, please provide more information, including dates

Education

Please confirm the player’s latest academic qualifications and certification date

Please detail the player’s grades (please state either achieved or predicted)

What qualifications is the player interested in studying in 2021-22?

Please detail any other relevant information about the player, such as learning support needs, information on current qualifications being taken. (We will collect medical information and emergency contacts at a later date)

Will the player be available to attend the Open Trial on Sunday 27 June, 2021?

Yes No

Will the player be available to attend the Closed Trial on Sunday 4 July, 2021?

Yes No

What is your relationship to the player?

What is your full name?

First Name

Last Name

What is your email address?

What is your best contact number?

Mobile Home

Mobile

Home

The information provided on this form will be held securely and will only be shared with those who need this information in order to assess the player and meet the specific needs of the player during the trial process. For more information regarding the Privacy Policy please visit https://www.lcfc.com/club/privacy.

I, the player, consent to my data being processed by LCFC Women for the purposes of the trial process and for my data to be shared with Loughborough College.*

Yes No

I, the parent/guardian, consent to the player taking part in the trial process and for the data to be processed for this purpose.*

Yes No

I, the parent/guardian, consent to the data being processed by LCFC Women for the purposes of the trial process and for my data to be shared with Loughborough College.*

Yes No

Signature/Name of person completing form*

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Use your mouse or finger to draw your signature above

Date/Time*