Eland Sport Academy

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Last Name

Phone

Address

Which academic course would you like to study

Country of Birth

Identification Number

Date of Birth

Choose your Preffered Position

Height

Weight KG

Age

Jersey Size

Short Size

Last School Attended

Grade Completed at end of 2025

Name School Coach

Contact No. of Coach

Medical Aid Name (if none indicate by N/A)

Medical Aid Plan (if none indicate by N/A)

Medical Aid Number (if none indicate by N/A)

What type allergies do you have (if none, please state none)

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Guardian First Name

Guardian Last Name

Guardian Contact Number

Guardian Email Address

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