TIKITACA FUTSAL | TRIAL BOOKING FORM
This form is to be completed by the Parent/Carer. On completion, you’ll receive confirmation of your trial booking with location and timing of the session. We look forward to seeing you.
No. of players:
*
Please Select
Single Player
Multiple Players (i.e Siblings)
Select Location
*
Please Select
Uxbridge
Hounslow
PLAYER DETAILS
Player Name
*
First Name
Last Name
Current Age
*
Age at the start of club registration
Current Year
*
Please Select
Pre-School (Nursey)
Reception
Year 1
Year 2
Year 3
Year 4
Year 5
Year 6
Year 7
Year 8
Year 9
Year 10
Year 11
Current Year at School
Futsal Position
*
Please Select
Forward
Winger
Defender
Goalkeeper
Not Sure
Please select preferred position
Futsal Experience?
*
Please Select
Advanced - Able to Play Futsal
Developing - Currently enrolled in a Football Club
Beginner - Able to Play Football
New Starter - No experience at all
Has the player played Futsal before?
PLAYER DETAILS #2
Player Name
*
First Name
Last Name
Current Age
*
Age at the start of club registration
Current Year
*
Please Select
Pre-School (Nursey)
Reception
Year 1
Year 2
Year 3
Year 4
Year 5
Year 6
Year 7
Year 8
Year 9
Year 10
Year 11
Current Year at School
Futsal Position
*
Please Select
Forward
Winger
Defender
Goalkeeper
Not Sure
Please select preferred position
Futsal Experience?
*
Please Select
Advanced - Able to Play Futsal
Developing - Currently enrolled in a Football Club
Beginner - Able to Play Football
New Starter - No experience at all
Has the Player played Futsal before?
PARENT/GUARDIAN DETAILS
Parent/Guardian Name
*
Relation to Player
*
Please Select
Mother
Father
Sibling
Aunt/Uncle
Guardian
E-mail
*
Contact Number
*
-
Area Code
Phone Number
SELECT VENUE AND SESSION TIMINGS
*Please note: Sessions are subject to change for 2025/26*
(U4-U6) - Available Session(s) - TRIAL SESSION
(U4-U6) Saturday 9am - 10am - Uxbridge High School
(U6-U9) - Available Session(s) - TRIAL SESSION
(U6/U7/U8) Saturday 10am - 11:15am - Uxbridge High School
(U6/U7/U8) Sunday 09:45am - 11:00am - Swakeleys High School
(U9-U11) - Available Session(s) - TRIAL SESSION
(U9-U11) Sunday 11:00am - 12:00pm - Swakeleys High School
(U12-U14) - Available Session(s) - TRIAL SESSION
(U12-U14) Sunday 12:00pm - 13:00pm - Swakeleys High School
(U14-U16) - Available Session(s) - TRIAL SESSION
(U14//U15/U16) Friday 6pm - 8:30pm - Lampton High School
Date of Trial Booking
*
IMAGES/VIDEOGRAPHY CONSENT
The club may wish to take photos or videos of the team or individuals. As per The FA Guidelines, these will be used solely for promotion and celebration of the activities of the club and for training purposes.
*
I agree to the club being able to take photos and videos during this season of my child. I understand that I can withdraw my consent for this at any time during the season by notifying the club.
PERMISSION OF PARENT/GUARDIAN
Signature
Signed Date
/
Day
/
Month
Year
SUBMIT TRIAL BOOKING
SUBMIT TRIAL BOOKING
Should be Empty: