Player Details:

Your Name (required)

Your Email (required)

Your telephone Number (required)

Date of Birth (required)

Your Nationality (required)

First language (required)

If you are under 18 please give your parent/carer's details here:

Parent/guardian's Name (required)

Parent/guardian's Email (required)

Parent/guardian's Telephone number (required)

About your course:

Which football course? (required)
—Please choose an option—English + FootballFootball Development Programme

When would you like to start lessons?(required)

When would you like to finish lessons?(required)

Accommodation:

Please select an option below
—Please choose an option—I have my own accommodation in ManchesterI request standard homestay accommodationI request self-catering residence accommodation 18+ only

Information about you:

Chest size (for kit)

Player position and football background

Do you have any medical conditions or allergies?
yesno

If yes please tell us about them

Do you have any special dietary requests?
yesno

If yes please tell us about them

Do you take any medicine?
yesno

If yes please tell us about them

Do you have any conditions for which you might need extra learning support? eg dyslexia, communication difficulties
yesno
If yes please tell us about them

Please provide details of your next of kin name and their phone number

Personal Travel /Medical Insurance

It is very important that you have suitable insurance before you come to the UK. IH Manchester does not provide or arrange travel insurance for students.

Permissions

If you booked your course via a school or agent please give their name here

Please state here is you are happy for IH Manchester to share details about you and your course with the school or agent named above
yesno

Please confirm if you would like us to proceed with this booking now, without waiting the 14 day ‘cooling off’ period
yesno

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