Darajani Sports Academy

Aspect	Requirement
Eligibility	Open to boys and girls aged 8 – 19 years.
Disciplines	Football, Athletics, Basketball, Volleyball, Swimming, Rugby, Tennis, and more.
Handwriting	Fill in block letters using a black or blue pen.
Trials	Bring the completed form to the trials venue. No form = No trial.
Attire	Come in appropriate sports attire and footwear (boots/sneakers).
Registration Fee	Pay a non-refundable fee of KES 1,000 at the trials venue.
Documents	Attach certified copies of Birth Certificate and last school report.
Submission Deadline	Refer to official communication for specific intake dates.

CP

Candidate Cover Page

Full Legal Name *

Preferred Name

Date of Birth *

Age

Gender *

Male Female

Primary Sport *

Position / Specialization

Current School

Current Grade / Form / Year

County of Residence

Preferred Darajani Sports Academy Branch *

Affix Recent Passport Photograph Here *

Colour, 2"x2", taken within 3 months (Staple or paste photo here)

A

Biographical & Personal Data

Full Name *

Date of Birth *

Place of Birth

Nationality

ID / Birth Certificate Number *

Religion (Optional)

Primary Phone Number *

Alternative Phone Number

Active Email Address

Physical / Landmark Address

Postal Address

County

Sub-County / Ward

Height (cm)

Weight (kg)

Shoe Size

Jersey / T-Shirt Size

S M L XL XXL

Dominant Hand

Right Left

Dominant Foot

Right Left

B

Sport Details & Experience

Primary Sport *

Football Athletics Basketball Volleyball Swimming Rugby Tennis Other:

Position / Specialization

Years of Experience

Highest Level Reached

School Sub-County County Regional National

List Any Medals, Trophies, or Awards

Are you currently in another academy?

No Yes (Specify):

Former Club Details

Name of Former Club / Team

Years Played for the Club

Position(s) Played

Club Coach / Manager Name

Club Coach / Manager Phone Number

Reason for Leaving

Any Club-Level Achievements / Trophies Won

Are you still registered with this club?

Yes No

Do you have a release letter from the club?

Yes No Not Applicable

Briefly describe your experience at your former club and why you are seeking to join Darajani Sports Academy:

C

Parent / Guardian Information

Parent/Guardian Full Name *

Parent/Guardian Phone Number *

Parent/Guardian Occupation

Parent/Guardian Employer / Business

Parent/Guardian ID Number

Parent/Guardian Email

Physical Address

Consent for Training & Travel?

Yes No

D

Health & Medical Declaration

Do you have any chronic illness? (Asthma, Diabetes, Epilepsy, Heart Condition)

No Yes (Specify):

Are you on any regular medication?

No Yes (Specify):

Do you have any allergies?

No Yes (Specify):

Have you had any major injury? (Fracture, Ligament Tear, Concussion)

No Yes (Specify):

Are you physically fit to participate in vigorous sports?

Yes No

Emergency Contact Full Name *

Emergency Contact Phone Number *

Emergency Contact Relationship

E

Academic Background

Darajani Sports Academy values the "Student-Athlete". Academic performance is monitored.

Level	Institution	Year	Grade / GPA
Primary School (KCPE/CBC)
Secondary School (KCSE/IGCSE)
Current Institution (if any)

Any academic awards?

No Yes (Specify):

F

Official Fee Structure

Please review the fee structure carefully. Payments are termly.

Item	Amount (KES)	Frequency
Registration / Trials Fee	KES 1,000	One-time (Payable at trials)
Termly Training Fee	KES 500	Per School Term
Official Jersey & Training Kit	KES 1,000	One-time (Upon selection)

Initial Payment Upon Selection	Amount (KES)
Official Jersey & Training Kit	KES 1,000
First Term Training Fee	KES 500
TOTAL INITIAL PAYMENT	KES 1,500

Scholarship Interest

Yes, I wish to apply for Lerato Foundation sponsorship. No, my family will cover fees.

G

Declarations

Applicant's Declaration: I declare that all information provided is true, accurate, and complete. I understand that false information will lead to immediate disqualification.

Signature

Date

Parent/Guardian Declaration: I give my full consent for my child/ward to participate in trials and subsequent training. I have read and accepted the fee structure and code of conduct.

Signature

Date

H

Registration Fee Receipt (For Office Use Only)

Registration Fee Paid (KES 1,000)

Yes No

M-PESA Transaction Code

Receipt Number

Received By (Name & Stamp)

I

Trials Assessment (For Coaches Only)

Physical Fitness & Stamina

Technical Skill & Control

Tactical Awareness & Positioning

Attitude, Effort & Coachability

Sportsmanship & Teamwork

Overall Potential

Coach's Remarks

Coach's Recommendation

Admitted – Candidate meets all standards. Probation – 4-week observation period recommended. Not Admitted – Candidate did not meet minimum requirements.

Coach's Name

Coach's Signature

Date

J

Head of Academies Approval

Head of Academies Decision

I approve the admission of this candidate. I approve the probation period for this candidate. I do not approve this candidate.

Name

Signature

Date

FINAL ADMISSION STATUS

ADMITTED PROBATION NOT ADMITTED

K

Chief Executive Officer (CEO) – Final Sign-Off

CEO – Final & Binding Approval

This is the final and binding approval. The CEO's signature authorizes the candidate's official admission into Darajani Sports Academy.

I APPROVE the final admission of this candidate. I APPROVE the probation period for this candidate. I DO NOT APPROVE the admission of this candidate.

Name

Signature

Date

📎

Required Supporting Documents

Please tick once attached.

Certified Copy of Birth Certificate / National ID Most Recent School Report / Transcript Copy of Parent/Guardian National ID Sports Achievement Certificates (if any) Release Letter from Former Club (if applicable)

Message from the Academy Director

Important Instructions

Candidate Cover Page

Biographical & Personal Data

Sport Details & Experience

Former Club Details

Parent / Guardian Information

Health & Medical Declaration

Academic Background

Official Fee Structure

Declarations

Registration Fee Receipt (For Office Use Only)

Trials Assessment (For Coaches Only)

Head of Academies Approval

Chief Executive Officer (CEO) – Final Sign-Off

Required Supporting Documents