ELITE FOOTBALL PROGRAMME

Elite Football Programme

STUDENT REGISTRATION FORM

Is the student a day student or a boarder?

Day studentBoarding student

Please select which programme you would like the student to sign up to:*

Senior Boys Programme (Years 12-13)Senior Girls Programme (Years 12-13)Junior Boys Programme (Years 10-11)Junior Girls Programme (Years 10-11)Pre Junior Boys Programme (Years 7-9)Pre Junior Girls Programme (Years 7-9)

Student's name*

First NameLast Name

Student's date of birth*

DayMonthYear

Nationality*

House (if already at Rossall)

Name of parent or guardian*

First NameLast Name

Email address*

Confirmation Email