OPEN TRIAL For More Details Email trials.ltfc@hotmail.co.uk
November open trials - Luton Town Football Club November open trials - Luton Town Football Club
- Page 3 and 4: Player Profile Players Name: Date o
- Page 5: Players Full Name: ________________
Player Profile<br />
Players Name:<br />
Date of Birth<br />
In a 4-4-2 <strong>For</strong>mation, lining up as follows, please circle the number you wish to play as. PLEASE<br />
CIRCLE ONE NUMBER, as we want to judge you in your best position: Please be aware we may ask<br />
You to play in a different formation during the Trials process.<br />
Current Height (Cm)<br />
2 nd CF CF<br />
10 9<br />
LM or LW LCM RCM RM or RW<br />
11 8 4 7<br />
LB LCB RCB RB<br />
3 6 5 2<br />
GK<br />
1<br />
CIRCLE ONLY ONE POSITION PLEASE<br />
Current Weight (Kg)<br />
Please answer the following questions honestly:<br />
1. Have you ever been registered as a trialist with a professional football club:<br />
o Yes Club: Dates:<br />
o No<br />
2. Have you ever been signed as a schoolboy (U9-16) with a professional football club:<br />
o Yes Club: Dates:<br />
o No<br />
3. Have you ever been signed as a scholar (U18) with a professional football club:<br />
o Yes Club: Dates:<br />
o No<br />
4. Have you ever been signed as a professional with a professional football club:<br />
o Yes Club: Dates:<br />
o No<br />
5. Have you represented your:<br />
a. District District: Dates:<br />
b. County County: Dates:<br />
c. Country Country: Dates:<br />
6. Current Club: ______________________________________________<br />
Team: ie. 1st / Reserves / Under 18 / Under 16._____________________<br />
League Currently Playing:_______________________________________<br />
What is the highest level in the football pyramid that you have played at:<br />
Team: League: Number of Games Played:<br />
Signed:<br />
Please attach / insert a<br />
recent passport photo<br />
of yourself here<br />
Date:<br />
Luton Town<br />
Youth Development<br />
Kenilworth Stadium<br />
1 Maple Road<br />
Luton<br />
Bedfordshire<br />
LU4 8AW<br />
Main Switchboard<br />
01582 411622<br />
Ticket Office<br />
01582 416976<br />
Club Shop<br />
01582 488864<br />
Fax<br />
01582 405070<br />
Website<br />
www.lutontown.<strong>co</strong>.<strong>uk</strong><br />
Youth Development<br />
Sponsors:<br />
Under 18 Sponsors:<br />
Match Analysis<br />
Sponsors:<br />
first4vauxhall<br />
first4ford
<strong>TRIAL</strong>IST – DECLARATION OF FITNESS<br />
NAME OF PLAYER: …………………………………………………<br />
I being the above named player declare that I am fully fit to participate in<br />
a training/trialling period with Luton Town Football Club.<br />
In the event of me sustaining any injury whilst playing or training with<br />
Luton Town Football Club during my trial period, I agree that Luton Town<br />
Football Club have no liability or responsibility other than me receiving<br />
treatment as deemed necessary by the club’s physiotherapist (at no <strong>co</strong>st<br />
to the club i.e. referrals). This treatment will cease at the end of my trial<br />
period with Luton Town Football Club.<br />
The above will apply whether my trial period is at Luton Town Football<br />
Club’s request or at my own request.<br />
Signed by the said Player:<br />
Date: _______<br />
Luton Town<br />
Youth Development<br />
Kenilworth Stadium<br />
1 Maple Road<br />
Luton<br />
Bedfordshire<br />
LU4 8AW<br />
Main Switchboard<br />
01582 411622<br />
Ticket Office<br />
01582 416976<br />
Club Shop<br />
01582 488864<br />
Fax<br />
01582 405070<br />
Website<br />
www.lutontown.<strong>co</strong>.<strong>uk</strong><br />
Youth Development<br />
Sponsors:<br />
Countersigned by parent/guardian: Date: __<br />
(If Under age of 18)<br />
LTFC Youth Department: Date: ___<br />
Under 18 Sponsors:<br />
Match Analysis<br />
Sponsors:<br />
first4vauxhall<br />
first4ford
Players Full Name: _______________________________<br />
Date of Birth:________________________<br />
Does the above person:<br />
Have a medical <strong>co</strong>ndition requiring medical Y/N<br />
treatment or medication?<br />
Have an allergy to certain medications? Y/N<br />
Is he/she able to administer his/her own medication?<br />
Y/N<br />
Please give details of medical <strong>co</strong>ndition/treatments or allergies to medications below:<br />
Has he/she been in <strong>co</strong>ntact with any <strong>co</strong>ntagious or infectious<br />
diseases or suffered from anything in the last four weeks that may<br />
be<strong>co</strong>me <strong>co</strong>ntagious or infectious?<br />
If yes, give details:<br />
Does he/she have any special dietary requirements?<br />
If yes, give details:<br />
I wish to draw the following to the <strong>co</strong>aches attention (e.g. allergies, phobias, travel sickness,<br />
recent operations or treatments, other <strong>co</strong>nditions which may affect fitness to participate in certain activities):<br />
Y/N<br />
Y/N<br />
Luton Town<br />
Youth Development<br />
Kenilworth Stadium<br />
1 Maple Road<br />
Luton<br />
Bedfordshire<br />
LU4 8AW<br />
Main Switchboard<br />
01582 411622<br />
Ticket Office<br />
01582 416976<br />
Club Shop<br />
01582 488864<br />
Fax<br />
01582 405070<br />
Website<br />
www.lutontown.<strong>co</strong>.<strong>uk</strong><br />
EMERGENCY CONTACT INFORMATION<br />
Name:<br />
Relationship:<br />
MAIN<br />
ALTERNATIVE<br />
Youth Development<br />
Sponsors:<br />
Address:<br />
Telephone Numbers:<br />
Name:<br />
Address:<br />
Day:<br />
Evening:<br />
Other:<br />
FAMILY DOCTOR DETAILS<br />
Under 18 Sponsors:<br />
BEFORE SIGNING THIS FORM IT IS IMPORTANT THAT YOU UNDERSTAND THAT;<br />
While the medical staff will take all reasonable care of the player, neither they, nor Luton Town FC,<br />
can necessarily be held liable in respect of loss of or damage to property or injury suffered by the<br />
young person arising out of the trip, unless such loss, damage or injury results from the negligence<br />
of Luton Town FC, its employees or official volunteers.<br />
Signed: _________________________________<br />
By parent / guardian if under age of 18<br />
Date:_________________<br />
Match Analysis<br />
Sponsors:<br />
first4vauxhall<br />
first4ford