＊Required Information

Applicant Name (English）＊

Applicant Name (Chinese）

Gender＊
Male Female 

Date of Birth＊(dd-mm-yyyy)

Age＊

Course Code＊
4-5 Years Wednesday 17:30 – 18:45 Code:3A4-5 Years Saturday 09:00 – 10:15 Code:6A14-5 Years Saturday 10:30 – 11:45 Code:6A26-7 Years Wednesday 16:00 – 17:15 Code:3B6-7 Years Saturday 14:30 – 15:45 Code:6B6-7 Years Sunday 09:00 – 10:15 Code:7A16-7 Years Sunday 14:30 – 15:45 Code:7C6-8 Years Sunday 09:30 – 10:45 Code:7A27-8 Years Monday 17:30 – 18:45 Code:S1B8-9 Years Thursday 16:00 – 17:15 Code:4C8-9 Years Saturday 16:00 – 17:15 Code:6C8-9 Years Sunday 16:00 – 17:15 Code:7B9-10 Years Tuesday 17:30 – 18:45 Code:S2C10-12 Years Thursday 17:30 – 18:45 Code:4D10-12 Years Friday 17:30 – 18:45 Code:5D10-12 Years Saturday 17:30 – 18:45 Code:6D10-12 Years Sunday 17:30 – 18:45 Code:7D

Address＊

Parents' authorisation for application under 18

I hereby declare that the above applicant is in good health condition and is eligible to participate in the above course. I agree that the applicant will abide by the rules and regulations set out by the Acdemy and the coaches. I will not hold Giant Soccer Academy responsible for any injury to my child, or damages or loss of property as a result of participation in the courses.

If agree, please check the right side checkbox  Agree

Parent Name (English）＊

Parent Name (Chinese）

Title＊
Mr Mrs 

Contact Number＊

Email＊

Remark

Please type the following image code＊