Online Registration

A. PLAYER INFORMATION

1. Player Full Name: *

0 (Min. 4 Characters)

2. Date of Birth *

Age

5. Nationality *

7. Birth Certificate / Passport / ID Number: *

0 (Min. 4 Characters)

B. CONTACT DETAILS

1. Residential Address: *

0 (Min. 4 Characters)

2. County / Town: *

0 (Min. 4 Characters)

3. Phone Number:

0 (Min. 9 Characters)

4. Email Address:

0 (Min. 5 Characters)

C. PARENT / GUARDIAN INFORMATION (For players under 18)

1. Parent/ Guardian Full Name (a): *

0 (Min. 3 Characters)

1. Parent/ Guardian Full Name (b):

0 (Min. 3 Characters)

2. Relationship to Player: *

0 (Min. 3 Characters)

3. Parent Phone Number: *

0 (Min. 9 Characters)

4. Parent Alternative Phone Number:

0 (Min. 9 Characters)

5. Parent Email Address *

D. EDUCATION DETAILS

1. Player School Name:

0 (Min. 5 Characters)

2. Player Current Class / Level:

0 (Min. 1 Characters)

3. School Contact (optional):

0 (Min. 9 Characters)

E. MEDICAL INFORMATION

1b). If Yes, specify (medical condition): *

0 (Min. 3 Characters)

2b). If Yes, specify (injuries): *

0 (Min. 3 Characters)

3. Player Blood Group (optional):

0 (Min. 1 Characters)

4. Name of Medical Insurance / Institution:

0 (Min. 2 Characters)

5. Player’s Medical Policy Number:

0 (Min. 3 Characters)

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F. PAYMENTS

3. Other (enter amount here)

0 (Min. 4 Characters)

4. Enter Mpesa/ Bank Deposit Details *

0 (Min. 4 Characters)

5. Describe sponsorship/ payment details *

G. CONSENT & DECLARATION

I, the undersigned parent/guardian/player, confirm that the information provided above is true and correct and that I will abide by the Ligi Ndogo Rules and Regulations. I understand that participation in football activities involves physical exertion and agree that the academy shall not be held liable for injuries sustained during training or matches. I hereby indemnify Ligi Ndogo, its sponsors and facilities used for this programme against any claims by or on behalf of the registrant as a result of the player’s participation in the Ligi Ndogo leagues and games.

I consent to Ligi Ndogo sharing the minor’s data for football development and scouting purposes, in compliance with applicable data protection laws.

I grant permission for the academy to use photographs or videos of the player for training, promotional, or educational purposes.

3. Accept Terms, Rules and Regulations *

I have read the disclaimer and agree to the Terms and Conditions

1. How did you hear about us?*

Website

Friends

Instagram

Twitter/X

TikTok

Other

2. Comments on the online registration & system interaction *

0 (Min. 2 Characters)

4. Player’s Signing Full Names (if 18+): *

0 (Min. 3 Characters)

Player Sign (if 18+): (sign using your touchscreen *

Clear

5. Parent/Guardian Name: *

0 (Min. 3 Characters)

Parent Signature (sign using your touchscreen) *

Clear

Submit

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