ZBecks Junior Football Academy · Ages 5–16

Academy registration

Start your football journey. Parents and guardians, please complete all applicable sections clearly.

Monthly academy fees & payment

Academy fees are payable every month. Pay the first month through one of the channels below and attach your receipt with this application. The academy will verify the payment before confirming registration.

K500 per month

Continue paying the academy fee each month through the published bank or mobile money channels.

Mobile money

Network: MTN Registered name: Deborah Kachana Phone number: +260768425695

Use the player’s name as the payment reference where possible. Keep your receipt.

No account is required to apply.

Provide your contact details below so academy staff can update you. You will also receive a private tracking link after submitting.

1. Player information

Full name *Date of birth *Gender *Residential address *School / current school *

2. Parent / guardian information

Parent / guardian full name *Relationship to player *Phone number *Alternative phone number (optional)Email address *Residential address *

3. Application status contact

Who should the academy contact about this application? These may be the same details as the parent / guardian above. Staff use your preferred method to provide updates; you can check status online at any time.

Contact person’s full name *Email for application updates *Phone / WhatsApp number for application updates *Include the country code, for example +260, so the academy can call or send WhatsApp updates.Preferred contact method *

4. Football information

Previous club / academy (if any) (optional)Playing position (optional)Preferred foot *Football experience (optional)

5. Medical & emergency information

Medical conditions / allergies (write None if none) *Current medication (if applicable) (optional)Emergency contact name *Emergency contact phone *Additional medical information (optional)

6. Parent / guardian declaration & consent

I confirm that the information provided in this registration form is accurate to the best of my knowledge. I give permission for the above-named child to participate in activities organised by ZBecks Junior Football Academy, subject to the Academy's rules, safety requirements and applicable procedures.

I am the parent / guardian and agree to the declaration above. *Parent / guardian signature — type your full name *

Your consent and submission date will be recorded with your application. Your information and receipt are shared with authorised academy staff for registration review.

7. First month’s payment receipt

Payment channel *Transaction / payment reference *Attach receipt for the first month’s academy fee * (PDF, JPEG or PNG, up to 3 MB)