Coach Max Football Academy - School Holiday Camp-Student Registration Form
Fill out the form carefully for registration
Student Name
*
First Name
Last Name
Birth Date
*
Please select a day
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
Day
Please select a month
January
February
March
April
May
June
July
August
September
October
November
December
Month
Please select a year
2026
2025
2024
2023
2022
2021
2020
2019
2018
2017
2016
2015
2014
2013
2012
2011
2010
2009
2008
2007
2006
2005
2004
2003
2002
2001
2000
1999
1998
1997
1996
1995
1994
1993
1992
1991
1990
1989
1988
1987
1986
1985
1984
1983
1982
1981
1980
1979
1978
1977
1976
1975
1974
1973
1972
1971
1970
1969
1968
1967
1966
1965
1964
1963
1962
1961
1960
1959
1958
1957
1956
1955
1954
1953
1952
1951
1950
1949
1948
1947
1946
1945
1944
1943
1942
1941
1940
1939
1938
1937
1936
1935
1934
1933
1932
1931
1930
1929
1928
1927
1926
1925
1924
1923
1922
1921
1920
Year
Gender
*
Please Select
Male
Female
N/A
Week1: Monday 6th – Friday 10th April 2026. Please select the day(s) you wish to attend. Your child can finish at 2:00pm or stay for the full day until 4:00pm — we’ve introduced this option to support working parents. You’re also welcome to mix times (e.g., Monday until 2:00pm, Tuesday until 4:00pm).
Monday 6th April (8am - 2pm)
MONDAY 6th APRIL - FULL DAY (8am - 4pm)
Tuesday 7th April (8am - 2pm)
TUESDAY 7th APRIL - FULL DAY (8am - 4pm)
Wednesday 8th April (8am - 2pm)
WEDNESDAY 8th APRIL - FULL DAY (8am - 4pm)
Thursday 9th April (8am - 2pm)
THURSDAY 9th APRIL - FULL DAY (8am - 4pm)
Friday 10th April (8am - 2pm)
FRIDAY 10th APRIL - FULL DAY (8am - 4pm)
Week2: Monday 13th – Friday 17th April 2026. Please select the day(s) you wish to attend. Your child can finish at 2:00pm or stay for the full day until 4:00pm — we’ve introduced this option to support working parents. You’re also welcome to mix times (e.g., Monday until 2:00pm, Tuesday until 4:00pm).
Monday 13th April (8am - 2pm)
MONDAY 13th APRIL - FULL DAY (8am - 4pm)
Tuesday 14th April (8am - 2pm)
TUESDAY 14th APRIL - FULL DAY (8am - 4pm)
Wednesday 15th April (8am - 2pm)
WEDNESDAY 15th APRIL - FULL DAY (8am - 4pm)
Thursday 16th April (8am - 2pm)
THURSDAY 16th APRIL - FULL DAY (8am - 4pm)
Friday 17th April (8am - 2pm)
FRIDAY 17th APRIL - FULL DAY (8am - 4pm)
Contact
*
First Name
Last Name
E-mail
*
example@example.com
Phone Number
*
Please enter a valid phone number.
Does the participant have any allergies or medical conditions we should be aware of
*
Additional Comments
Submit Application
Clear Fields
Should be Empty: