Registration - Black Leopards Academy

Player Information

Full Name

Date of Birth

Physical Address

Email Address

Mobile Number

School Attending*

Parent/Guardian Information

1th Guardian/Mother's Details

Full Name

Email Address

Mobile Number

Identity Number

Physical Address

Work Number

2th Guardian/Father's Details

Full Names

Email Address

Mobile Number

Identity Number

Physical Address

Work Number

Full name(s) of person responsible for fees* Identity number of person responsible for fees

Medical Information

Medical History (Please select all that apply)

Chest Condition Ear Condition Heart Condition

Lung Condition Low Muscle Tone Physical Injuries

Allergies On Medication

Please provide details of any medical conditions or medications:

Medical Aid Information (If applicable)

Full name(s) of main Member

Full name(s) of dependant (Young Footballer)

Name of Medical Aid

Plan / Option

Medical Aid Number

Football Experience

Has the Young Footballer had previous Football Training?

Has the Young Footballer had any bad experiences pertaining to Football?

Any other information the coach should be made aware of?

Terms and Conditions

1. Registration Commitment

Once this contract is signed, a player remains registered to the Academy for one (1) year. If you choose to cancel the agreement, you must notify the Academy within 7 days of signature.

2. Exclusivity

Players are not permitted to contact any other Academies or Clubs during the initial 7-day period, nor throughout the agreed registration period.

3. Behavior Standards

The player's registration means that the player accepts the responsibility of maintaining standards of behavior set out by our Academy.

4. Communication

It is compulsory that the parent/player responds to any communication through the S2S program. Deadline dates for confirmation of attendance will be communicated through the players Head Coach.

5. Payment Terms

The amount indicated (R1500.00) will be payed on the day of the trails , NO REFUNDS .

6. Attendance Requirements

Should any player attend less than 70% of the training trails sessions, such player will immediately be expelled from the trails , NO REFUNDS.

7. Release Policy

There is a premature release penalty applicable when players request to be released before the expiration of their contract. The release penalty will be calculated based on remaining contract period.

8. Medical Consent

I consent to my child receiving any medical treatment that the Football Coach reasonably considers necessary or desirable during participation in the Programme.

Full Terms and Conditions: Please ensure you have read and understood the complete terms and conditions document provided in the PDF.

I have read and agree to the Terms and Conditions of Black Leopards Academy*

I declare that my child is medically and physically fit to participate and consent to medical treatment if needed*

Application Submitted Successfully!

Thank you for registering with Black Leopards Academy.

A confirmation email has been sent to your provided email address.

Our team will review your application and contact you within 3 business days.

Player Information

Parent/Guardian Information

1th Guardian/Mother's Details

2th Guardian/Father's Details

Medical Information

Medical History (Please select all that apply)

Medical Aid Information (If applicable)

Football Experience

Terms and Conditions

1. Registration Commitment

2. Exclusivity

3. Behavior Standards

4. Communication

5. Payment Terms

6. Attendance Requirements

7. Release Policy

8. Medical Consent

Application Submitted Successfully!

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