COACH DENNIS BOOTCAMPREGISTRATION FORM COACH DENNIS BOOT CAMP Player Registration Form PERSONAL INFORMATION Full Name: Nationality: Date of Birth: Age: Phone Number: Email Address: Residential Address: Emergency Contact Name: Emergency Contact Number: FOOTBALL PROFILE Preferred Position(s) (Check all that apply): GoalkeeperRight BackLeft BackCentre BackDefensive MidfielderCentral MidfielderAttacking MidfielderRight WingerLeft WingerStriker Preferred Foot: RightLeftBoth Height (cm): Weight (kg): PLAYING HISTORY Current Club (if any): Contract Status: Under ContractFree Agent If you chose Under Contract, are you: AmateurSemi-ProfessionalProfessional Previous Clubs (Most Recent First): 1. 2. 3. Highest Level Played: School FootballColts FootballDivision TwoDivision OneGhana Premier LeagueNational TeamInternational ClubOther: PLAYER OBJECTIVES What are you hoping to achieve by joining Coach Dennis Boot Camp? (Check all that apply): Maintain Match FitnessPrepare for Club TrialsReturn from InjuryImprove PerformanceSecure a Professional ContractPrepare for the Upcoming Season Other Objective: MEDICAL INFORMATION Do you currently have any injuries? YesNo If yes, please describe: Do you have any medical condition that may affect training? (If yes, please describe): MEDIA & PLAYER PROFILE Do you have a Player CV? YesNo If Yes, Upload CV (PDF/Word, Max 2MB): Do you have Highlight Videos? YesNo Do you have Full Match Videos? YesNo Link to Videos (YouTube/Drive/etc): Transfermarkt Profile Link: Social Media Handles: Instagram: Facebook: X (Twitter): PROGRAMME EXPECTATIONS [acceptance* cdbc-expectations] I understand that: - Regular attendance is expected throughout the programme. - Coaches reserve the right to assess my commitment and professionalism. - Participation does not guarantee selection, trials, contracts, or representation. - I agree to abide by the rules and standards of Coach Dennis Boot Camp.[/acceptance] DECLARATION & SIGNATURE I certify that the information provided in this application is true and accurate. Date: To digitally "sign" this form, please re-type your full name below. If under 18, a parent or guardian must enter their name. Applicant’s Digital Signature: Parent/Guardian Signature (if applicant is under 18):
