Player Name *

D.O.B (DD/MM/YY) *

Parent/Guardian Name *

Parent/Guardian Email Address *

Parent/Guardian Phone Number *

Academy Location *

Academy location interested in joining

Preston U5 & U6 (3G Pitch - Ashton High School, PR2 1SL, 18:00-19:00 - Mondays)

Preston U7-U9 (3G pitch - Ashton High School, PR2 1SL, 18:00 - 19:00 - Mondays)

Preston U10-13 (3G pitch - Ashton High School, PR2 1SL, 19:00 - 20:00 - Mondays)

Lytham U13-U16 (3G pitch - YMCA Mythop Road FY8 4HB, 16:50 - 18:00 - Tuesdays)

Lytham U8 & U9 (3G pitch - YMCA Mythop Road FY8 4HB, 16:50 - 18:00 - Wednesdays)

Lytham U10-U12 (3G pitch - YMCA Mythop Road FY8 4HB, 16:50 - 18:00 - Thursdays)

Lytham U5-U7 (3G pitch - YMCA Mythop Road FY8 4HB, 16:50 - 18:00 - Fridays)

Lancaster City FC Development Squad Trials (Tuesdays 8-9pm, U13-U16, LA1 3JD)

Lancaster City FC Development Squad Trials (Wednesdays 6-7pm, U7-U9, LA1 3JD)

Lancaster City FC Development Squad Trials (Fridays 7-8pm, U10-U12, LA1 3JD)

Bury Town FC Development Squad U7 - U9 (Skyliner Sports Centre 3G IP32 7QB, 18:00 - 19:00 - Mondays)

Bury Town FC Development Squad U10 - U13 (Skyliner Sports Centre 3G IP32 7QB, 19:00 - 20:00 - Mondays)

Garstang U7 - U9 (Garstang Academy Sports Hall, PR3 1YE, 5.30 - 6.30pm - Wednesdays)

Child's Playing Age for season 2017/18 e.g Under 9/U9

Position *

Outfield Player

Goalkeeper

Footballing Experience

Any previous clubs, academies

Does your child have any medical conditions which we need to be aware of?

How did you hear about us?

I would like to hear from Orange Soccer about updates, promotions & exciting things that are happening @ OS HQ. Your information WILL NOT be passed onto any external 3rd party bodies. * *

YES

NO

For more information fill in the form below and we will contact you via phone or email regarding signing up for a taster session.