Elite Football Programme
STUDENT REGISTRATION FORM
Is the student a day student or a boarder?
Day student
Boarding student
Please select which programme you would like the student to sign up to:
*
Senior Boys Programme (Years 12-13)
Senior Girls Programme (Years 12-13)
Junior Boys Programme (Years 10-11)
Junior Girls Programme (Years 10-11)
Pre Junior Boys Programme (Years 7-9)
Pre Junior Girls Programme (Years 7-9)
Student's name
*
First Name
Last Name
Student's date of birth
*
Please select a day
1
2
3
4
5
6
7
8
9
10
11
12
13
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31
Day
Please select a month
January
February
March
April
May
June
July
August
September
October
November
December
Month
Please select a year
2024
2023
2022
2021
2020
2019
2018
2017
2016
2015
2014
2013
2012
2011
2010
2009
2008
2007
2006
2005
2004
2003
2002
2001
2000
1999
1998
1997
1996
1995
1994
1993
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1991
1990
1989
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1987
1986
1985
1984
1983
1982
1981
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1978
1977
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1941
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1937
1936
1935
1934
1933
1932
1931
1930
1929
1928
1927
1926
1925
1924
1923
1922
1921
1920
Year
Nationality
*
House (if already at Rossall)
Please Select
Anchor
Dolphin
Dragon
Maltese Cross
Mitre Fleur de Lys
Pelican
Rose
Spread Eagle
Wren
Name of parent or guardian
*
First Name
Last Name
Email address
*
Confirmation Email
Submit
Should be Empty: