KSA Open Trials Registration

KSA Open Trials Registration For 2023/24

Kickstart Academy, better known as KSA is an innovative football programme for talented young footballers in Surrey. Provided by a team of forward thinking professional coaches. We focus on combining the development of each individual player, all whilst having fun in a positive environment.

Fill out your details below to get started!

Player Details

Player First Name *

Player Last Name *

Date of Birth *

Academic Year from September 2023: *

Which school does your child attend? *

If Other

Parent / Guardian Details

Parent/Guardian Email 1 *

Parent/Guardian Email 2 *

Parent/Guardian Phone Number 1 *

Parent/Guardian Phone Number 2 *

Address *

City *

County *

Postcode *

Playing Experience/Clubs *

We are committed through trained and competent staff to providing a safe learning environment, however football is a contact sport and injuries may occur through no negligence of our staff. We feel it is our responsibility to ensure the safety of the attendee by making sure they come well equipped for the activity i.e. correct footwear, appropriate clothing, food/drinks if appropriate, medication (if applicable). I have read and understood this statement, completed all the details requested to the best of my knowledge and will comply with the information set out. I acknowledge and accept that Kickstart coaching UK or respective servants shall not have any liability in respect with any loss or damage to property and give permission for my child to receive emergency medical treatment in my absence if deemed necessary. *

Yes I agreeNo I do not agree

> If invited by a Kickstart Coach, select which coach:

Our mission is to provide children with a unique platform to grow through sport. We wish to inspire children through our teaching and create an active generation of sport loving individuals. Kickstart also thrive to maintain an outstanding customer service and continue to develop relationships within the community. Our belief in the benefits of sport is the foundation of our philosophy.

01428 288840

hello@kickstartcoachinguk.com