amended open trial form277 1020925

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BRENTFORD FC OPEN TRIALS 2013 For outfield players born before September 1 st  1997 16 th  & 17 th  November 2013

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8/21/2019 Amended Open Trial Form277 1020925

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BRENTFORD FC

OPEN TRIALS 2013

For outfield players born before

September 1st 1997

16th & 17th November 2013

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Who is the Trial for?

Players aged between 16-21* (Professional Development Phase) for the 2013-2014

season who are not currently registered to a Professional Club.

How much does it cost?

The cost of the two days will be £60 per player. Please note that participants must

submit payment with their application form. Once your application has been processed,you will receive a confirmation email within 21 days.  All Cheques and Postal Orders

must be made payable to “Brentford  Football Club” . Payment may also be made by

Credit / Debit Card (See the below sheet). No Cash payments will be accepted.

What does the cost of the trial include?

2 Hours training with Brentford Academy Coaches

Physical Testing

Small Sided Games Written individual feedback for each player after the Game

The opportunity to win a Professional Contract at Brentford Football Club

 Accommodation and Transport?  

Participants must organise their own means of accommodation and transport for both

days.

Please ensure players have appropriate training wear (including shin pads) and fluids

to last each day’s training. All training and matches will be on grass. 

Both days will be held at the Brentford Football Club Academy/First Team

Training Ground:

100 Jersey Road

Osterley

MiddlesexTW5 0TP

*Players will need to obtain a passport from an EU country to be in a position to earn a scholarship or a

Professional Contract. If you do not have an EU passport you may still participate, but it is extremely unlikely

that if you were successful in the trial that you would be able to gain a work permit to play in Great Britain.

PROFESSIONAL TRIALSFor more details E-mail: [email protected]

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What will happen over the two days? (*Subject to Change)

Players will be assigned a group. The confirmation email will state which group you are

in confirming your meet, training and game times.

Please be aware that access may be denied to the training ground if you arrive before

your allocated time. We appreciate your co-operation with this issue.

Time Day 1  – Group 1 Time Day 2  – Group 1

08.30am Arrive at Jersey Road 08.30am Arrive at Jersey Road

09.00am Start training session 09.00am Start Match Day warm

up

Conduct sessions in conjunction with Brentford

Football Club Philosophy 

09.15am Kick Off (Games

played

simultaneously)

11.00am Training Ends 11.15am Individual PlayerFeedback

11.30am Depart 12.15pm Depart

Time Day 1  – Group 2 Time Day 2  – Group 2

12.00pm Arrive at Jersey Road 12.30pm Arrive at Jersey Road

12.30pm Start training session 1.00pm Start Match Day warm

up

Conduct sessions in conjunction with Brentford

Football Club Philosophy

1.15pm Kick Off (Games

played

simultaneously)

2.30pm Training Ends 3.15pm Individual Player

Feedback

3.00pm Depart 4.15pm Depart

Please be advised that Saturday will be for players only. No family, friends or partners

will be granted access to the facility.

All visitors are welcome on Sunday to come and watch the games.

HOWEVER NO AGENTS WILL BE PERMITTED ACCESS TO THE SITE ON BOTH DAYS

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Brentford FCThe AcademyGriffin Park

Braemar Road

Brentford

TW8 0NT

Academy0845 3456 442 (option 5)

Ticket office0845 3456 442 (option 4)

Club Shop0845 3456 442 (option 1)

Websitewww.brentfordfc.co.uk

Please complete and send the Player Profile and Declaration of Fitness forms to:

Anthony Hayes

Brentford Football Club

100 Jersey Road

Osterley

Middlesex

TW5 0TP

Please book early to avoid disappointment, there will be a limit on places so first come first serve willapply. Applications received after 31/10/2013 will not be accepted and payment will be refunded /

destroyed.

Name:………………………………………………………………………………………………………………………………………………… 

T-Shirt Size(S,M,L,X/L)………………………………………………………………………………………………………………………… 

I enclose payment of £60 made payable via:……………………………………………………………………………………….

Signed…………………………………………………………………………………………………………………………………………………

 

What will happen if I cancel?

Please note: If you have to withdraw from the event due to Injury, illness or other commitments, the £60 cost is refundable minus a £5

administration fee. This is only applicable IF you notify us at least TWO WEEKS prior to the start of the event. If you notify us AFTER the

two week deadline or simply fail to attend you will not be eligible for any form of a refund. This is non-negotiable.

Player Profile

*Please complete this form in black pen writing in block capitals*

Please list ONE POSITION, as we want to judge you in your best position: Please be aware we may

ask you to play in a different position during the trials process.

Name: Date of birth:

Preferred position:

Current height (cm): Current weight (Kg):

Previous playing experience:

Please attach a

recent passport

photo here

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YOUTH FOOTBALL DEVELOPMENT  Page 1 of 1 

ACADEMY TRIALS - DECLARATION OF FITNESS FORM

Please complete this form in black pen writing in block capitals.

PLAYER INFORMATION

Name Age

Group

School

Year

AddressDate of Birth

Current Club Best Position

Contact Numbers Mobile Landline

Parent Name

Email Address

EMERGENCY CONTACT

Name

Address

Contact Numbers Mobile Landline

Relationship to Player

MEDICAL INFORMATION

Is the player receiving any medical treatment? If yes please provide details: YES/NO

Is the player taking any medication? If yes please provide details: YES/NO

Does the player have any allergies? If yes please provide details: YES/NO

PARENT/GUARDIAN CONSENT

I being the above named player declare that I am fully fit to participate in a training/trialling period with Brentford Football

Club.

In the event of me sustaining any injury whilst playing or training with Brentford Football Club during my trial period, I agree

that Brentford Football Club have no liability or responsibility other than me receiving emergency/first-aid treatment as

deemed necessary by the club’s medical staff (at no cost to the club i.e. referrals). This treatment will cease at the end of  my

trial period with Brentford Football Club.

Non-completion of this form by both the player and parent/guardian will lead to the named player not being permitted to train

with Brentford Football Club. Player safety is our priority; therefore Brentford Football Club reserves the right to withdraw any

player from their training program on medical grounds at any time.

Signed by Player Print Name Date

Signed by

Parent/Guardian

(Required by players

under 18)

Print Name Date

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Credit / Debit Card Payment Form

Please note that payment cannot be made with Diner’s Card or American Express 

Name:

Address (NAME AND ADDRESS MUST BE AS HELD BY CREDIT / DEBIT CARD COMPANY):

Postcode:

Daytime telephone number:

*CREDIT CARD (£1.50 Fee) / DEBIT CARD (No Fee)Type: VISA / VISA (Debit) / MasterCard / Maestro / Other (please specify)

Name on card: Start date:

Card number: Expiry date:

Security code (Last 3 Digits): Issue number:

Billing address (if different to above):

Description: (Please tick method of payment) Cost: Total Cost (Including VAT):

Open Trials Method of Payment £61.50 Credit Card □ 

Open Trials Method of Payment £60.00 Debit Card □ 

Date of order:

Date processed:

Order taken by:

Order processed by: