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BENFICAMACAU 澳門賓菲加

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Benfica Macau Academy Enrolment

Player Details

Player First Name

Player Last Name

Player Chinese Name

* if no portuguese/english name, please type in pinyin/jyutping format

Choose Sport or Activity

The player has been registered before. To change any details plase log into the Members Area and change.

Birthday

Gender

Boy

Girl

School

First Time training in Football Academy?

Yes

No

Gentleman

Lady

First Time training in Football Academy?

Yes

No

Contact Phone Number 1

Emergency Contact

Emergency Contact Phone Number

Parent / Guardian Details

Parent / Guardian 1 Name

Contact Phone Number 1

Parent / Guardian 2 Name

Contact Phone Number 2

E-mail Address

Next

Address in

Macau

Taipa

Coloane

Any allergies, contraindications?

I agree and accept the terms and conditionsView Terms & Conditions

I authorize Benfica Macau Academy to publish pictures of my child during training on their website and social media platforms

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Av. Praia Grande, 599 Edf. Com. Rodrigues, 12 Floor A, Macao

benficamacau@etpluribus.com

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