Football Athlete Registration Form Join the Future of Football Talent Management

Personal Information:

  • Full Name: _______________
  • Date of Birth: _______________
  • Gender: ☐ Male ☐ Female ☐ Other
  • Nationality: _______________
  • Contact Number: _______________
  • Email Address: _______________
  • Current Address: _______________

Football Profile:

  • Playing Position: ☐ Goalkeeper ☐ Defender ☐ Midfielder ☐ Forward
  • Preferred Foot: ☐ Right ☐ Left ☐ Both
  • Current Team/Club Affiliation (if any): _______________
  • League Level: ☐ Amateur ☐ Semi-Professional ☐ Professional
  • Years of Experience: _______________

Physical Attributes:

  • Height: _______________ cm
  • Weight: _______________ kg
  • Sprint Speed (if available): _______________ sec/100m

Achievements & Recognition:

  • Notable Awards/Titles: _______________
  • Championships/Tournaments Participated In: _______________
  • Records Held (if applicable): _______________

Video & Portfolio Submission:

  • Link to Highlight Reel/Gameplay Footage (if available): _______________
  • Social Media/Website (if applicable): _______________

Medical & Fitness Information:

  • Any Past Injuries: ☐ Yes ☐ No If Yes, Please Specify: _______________
  • Current Fitness Level: ☐ Excellent ☐ Good ☐ Moderate ☐ Needs Improvement
  • Medical Clearance Certificate: ☐ Attached ☐ Pending

Agency Preferences & Goals:

  • Type of Representation Sought: ☐ Contract Negotiation ☐ Sponsorship Deals ☐ Career Management ☐ Marketing & Endorsement
  • Short-Term Career Goal: _______________
  • Long-Term Career Goal: _______________

Consent & Agreement: By submitting this form, I confirm that the information provided is accurate and truthful. I understand that submission does not guarantee representation and that further assessment may be required.

☐ I agree to the agency’s terms and conditions. ☐ I consent to my data being stored and used for evaluation purposes.

Signature: _______________ Date: _______________

Submission: Please complete this form and forward it to darm1@roehampton.ac.uk to express your interest in joining the agency.