REGISTRATION FORM Please kindly register and our representative will contact you within 2 (two) working days. Player Data Player Name First Name Last Name Player Gender Gender Male Female Player Birth Date Tanggal Lahir Player Phone Player Phone Player Email Player Email Player School Player School Player Grade Player Grade Upload Birth Certificate (optional) Akta Kelahiran Upload NISN (optional) NISN Upload Family Document (optional) Kartu Keluarga Origin Football Academy(optional) Sekolah Sepak Bola Asal Player Position (optional) Player Position Program Group Age Group Age U-6, at least 5 years old U-8, at least 7 years old U-10, at least 9 years old U-12, at least 11 years old U-14, at least 13 years old U-16, at least 15 years old U-18, at least 16 years old Reguler Class Regular Class 1x per week: Annual Registration Fee + 12 Sessions (3 Months) = IDR 2,000,000 + IDR 3,000,000 1x per week: Annual Registration Fee + 4 Sessions (1 Months) = IDR 2,000,000 + IDR 1,500,000 Elite Team Class Manual Registration only, please contact directly to our Whatsapp Number. Training & Schedule Training days & schedules depend on available slots on each venue. Parents / Guardian Data Parent / Guardian Name Parent Name Relation With Player Relation Dad Mom Guardian Address Address Phone Number Phone number Email Parent Email Parental / Guardian Consent Hereby state the following:To give consent to my child to participate in EDF LaLiga Academy.Confirm that my child is physically capable of participating in the Academy’s activities.To give consent to have a trainer and/or doctor of medicine or dentistry provide my child with medical assistance and/or treatment and agree to be responsible financially for the reasonable cost of such assistance and/or treatment.I grant the Academy the right to use players name, pictures and/or likeness in printed, broadcast and other material concerning the Academy, provided such use is related to the players status as a participant in the “Programs”. I as parent or guardian of the Player identified herein, give my consent for the Player, to participate in EDF LaLiga Academy, and have read and accept these terms and conditions. Submit