Chatham Town Academy Interest Form
September 2024
Preferred Academic Pathway
BTEC Level 3 - Chatham Town VLUK Campus
A Level - Thomas Aveling
A Level - St John Fisher
Not Sure
Full Name
First Name
Last Name
Date of Birth (dd/mm/yyyy)
Current School Year (2023/24)
Address (House Number and Street Name)
Town (Eg. Chatham)
Postcode
Player Contact Number
Player Email Address
example@example.com
Emergency Contact - Parent Name
First Name
Last Name
Parent Email
example@example.com
Parent Contact Number
Current School
Current Football Team
League/Competition (Eg. Kent Youth League)
Playing Position
GK
LB/RB
CB
CM (4&8)
CM (10)
LW/RW
CF
Predicted Grades - Maths
Predicted Grades - English Language
Predicted Grades - English Literature
Submit
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