Soccer Academy Application Form

* Marked fields are Mandatory
  Civil ID *
  First Name *
  First Name in Arabic
  Father's Name *
  Father's Name in Arabic
  Family Name *
  Family Name in Arabic
  Nationality *
  Governorate *

 Personal Contact Details
  Permanent Address *                                  
  Student Email 
  Home Phone No *
  Student's Mobile Number *
  Parent's Mobile Number *
  Contact Person Name In case of   Emergency *
  Contact Person No In case of   Emergency *
  What is your relation with   Emergency Contact Person ? *

 Application Information
  Name of School *
  Allergies
  If Yes, describe:
  Medications
  If Yes, describe:
  Major Illness
  If Yes, describe:
 Upon registration, please provide: 1. Copy of CivilID   2. LoYAC Medical Certificate   3. Two Photos   

 Payment fees can be made as follows:
 - One Month Package- 120 KD
 - Two Month Package- 225 KD
 - Three Month Package- 320 KD
 - Official AC Milan Soccer School Kit KD 60 (non-refundable)
 
 Cancellation Policy:    Cancellation one week before school start date will result in a 25% deduction of the amount paid.
                                     No refund is acceptable after the start of the Academy.
 
  


LoYAC, Bayt Lothan, P.O.Box 386, Salmiya 22004, Kuwait Tel:+96525723606, Fax: +96525744577, Email: contact@loyac.org