OPEN TRIAL For More Details Email trials.ltfc@hotmail.co.uk

Player Profile
Players Name:
Date of Birth
In a 4-4-2 Formation, lining up as follows, please circle the number you wish to play as. PLEASE
CIRCLE ONE NUMBER, as we want to judge you in your best position: Please be aware we may ask
You to play in a different formation during the Trials process.
Current Height (Cm)
2 nd CF CF
10 9
LM or LW LCM RCM RM or RW
11 8 4 7
LB LCB RCB RB
3 6 5 2
GK
1
CIRCLE ONLY ONE POSITION PLEASE
Current Weight (Kg)
Please answer the following questions honestly:
1. Have you ever been registered as a trialist with a professional football club:
o Yes Club: Dates:
o No
2. Have you ever been signed as a schoolboy (U9-16) with a professional football club:
o Yes Club: Dates:
o No
3. Have you ever been signed as a scholar (U18) with a professional football club:
o Yes Club: Dates:
o No
4. Have you ever been signed as a professional with a professional football club:
o Yes Club: Dates:
o No
5. Have you represented your:
a. District District: Dates:
b. County County: Dates:
c. Country Country: Dates:
6. Current Club: ______________________________________________
Team: ie. 1st / Reserves / Under 18 / Under 16._____________________
League Currently Playing:_______________________________________
What is the highest level in the football pyramid that you have played at:
Team: League: Number of Games Played:
Signed:
Please attach / insert a
recent passport photo
of yourself here
Date:
Luton Town
Youth Development
Kenilworth Stadium
1 Maple Road
Luton
Bedfordshire
LU4 8AW
Main Switchboard
01582 411622
Ticket Office
01582 416976
Club Shop
01582 488864
Fax
01582 405070
Website
www.lutontown.co.uk
Youth Development
Sponsors:
Under 18 Sponsors:
Match Analysis
Sponsors:
first4vauxhall
first4ford

TRIALIST – DECLARATION OF FITNESS
NAME OF PLAYER: …………………………………………………
I being the above named player declare that I am fully fit to participate in
a training/trialling period with Luton Town Football Club.
In the event of me sustaining any injury whilst playing or training with
Luton Town Football Club during my trial period, I agree that Luton Town
Football Club have no liability or responsibility other than me receiving
treatment as deemed necessary by the club’s physiotherapist (at no cost
to the club i.e. referrals). This treatment will cease at the end of my trial
period with Luton Town Football Club.
The above will apply whether my trial period is at Luton Town Football
Club’s request or at my own request.
Signed by the said Player:
Date: _______
Luton Town
Youth Development
Kenilworth Stadium
1 Maple Road
Luton
Bedfordshire
LU4 8AW
Main Switchboard
01582 411622
Ticket Office
01582 416976
Club Shop
01582 488864
Fax
01582 405070
Website
www.lutontown.co.uk
Youth Development
Sponsors:
Countersigned by parent/guardian: Date: __
(If Under age of 18)
LTFC Youth Department: Date: ___
Under 18 Sponsors:
Match Analysis
Sponsors:
first4vauxhall
first4ford

Players Full Name: _______________________________
Date of Birth:________________________
Does the above person:
Have a medical condition requiring medical Y/N
treatment or medication?
Have an allergy to certain medications? Y/N
Is he/she able to administer his/her own medication?
Y/N
Please give details of medical condition/treatments or allergies to medications below:
Has he/she been in contact with any contagious or infectious
diseases or suffered from anything in the last four weeks that may
become contagious or infectious?
If yes, give details:
Does he/she have any special dietary requirements?
If yes, give details:
I wish to draw the following to the coaches attention (e.g. allergies, phobias, travel sickness,
recent operations or treatments, other conditions which may affect fitness to participate in certain activities):
Y/N
Y/N
Luton Town
Youth Development
Kenilworth Stadium
1 Maple Road
Luton
Bedfordshire
LU4 8AW
Main Switchboard
01582 411622
Ticket Office
01582 416976
Club Shop
01582 488864
Fax
01582 405070
Website
www.lutontown.co.uk
EMERGENCY CONTACT INFORMATION
Name:
Relationship:
MAIN
ALTERNATIVE
Youth Development
Sponsors:
Address:
Telephone Numbers:
Name:
Address:
Day:
Evening:
Other:
FAMILY DOCTOR DETAILS
Under 18 Sponsors:
BEFORE SIGNING THIS FORM IT IS IMPORTANT THAT YOU UNDERSTAND THAT;
While the medical staff will take all reasonable care of the player, neither they, nor Luton Town FC,
can necessarily be held liable in respect of loss of or damage to property or injury suffered by the
young person arising out of the trip, unless such loss, damage or injury results from the negligence
of Luton Town FC, its employees or official volunteers.
Signed: _________________________________
By parent / guardian if under age of 18
Date:_________________
Match Analysis
Sponsors:
first4vauxhall
first4ford