Sign Up to Tiki-Taka Football School

Registering Parent/Guardian's Name *

First Name

Last Name

Attending Child's Name

First Name

Last Name

Address

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Child's Date of Birth *

MM

DD

YYYY

Medical Conditions

Please tick below if your child has any of the conditions listed

Diabetes

Asthma

Epilepsy

Blood disorder

Alergies

Heart condition

Severe Infections

Other

Emergency Contact *

First Name

Last Name

Club Rules *

- No Black Soled Shoes inside the Football Studios - Children Under 3.5yrs must be accompanied by one Adult - Only Water is to be consumed inside the Football Studios - Fees are payable in advance of each Monthly Term

I have read and understood and I accept the rules for membership

I am Happy for Tiki Taka Football School to publish pictures of training sessions on their Social media platforms *

Yes

No