amended open trial form277 1020925
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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: