PREMIER LEAGUE

PREMIER LEAGUE
PLYD Form 5
ACADEMY PLAYER REGISTRATION APPLICATION (Youth Development Rule 227)
Academy Player’s Particulars
Surname Other name(s)
Address
Post Code
Parents’ email address
Travelling time from this address to the Academy §
Date of Birth Place of Birth Nationality †
Other clubs (if any) at whose Academy, Football Academy or Centre of Excellence the Academy Player has been registered:
Club From To
Club
School
From To
Application to Register
We, Football Club, hereby apply for the above-named Academy Player [who is engaged in
the Full Time Training Model + ] to be registered at our Academy for year(s) (subject
to Youth Development Rules 242 and 243). We certify that we have not, either directly or indirectly, made an
improper approach to him nor have we improperly induced him to become registered as an Academy Player.
Signed
Authorised Signatory
Date
Endorsement by Academy Player
I consent to the above application and consent pursuant to Schedule 2 and Schedule 3 of the Data Protection Act
1998 to The Football Association Premier League Limited holding and processing the above “personal data” and
“sensitive personal data” for the purpose of discharging its functions as a regulatory and governing body of
football. I certify that the above particulars are correct. I agree to be bound by the Rules of the Premier League.
Signed
Date
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YOUTH DEVELOPMENT FORMS