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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 * required

Gender *

Boy

Girl

School

First Time training in Football Academy? *

Yes

No

* required

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 D, Macao

benficamacau@etpluribus.com

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