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Academy Application Form

Required fields are marked with an asterisk *
First Name:	*
Last/Family Name:	*
Position in Academy:	*
Languages Spoken:	*
Telephone:	* e.g. 415-555-1212
Mobile Phone:	*
Name of Academy:	*
Name of League:	*
League Level:	*
Academy Office Tel:	*
Is the Academy registered with your Federation?:	*
How many teams have your academy?:	*
How many players does your academy have?:	*
Country:	*
E-mail:	*