Apply for Benfica Residential Academy®

Submit the form below and one of our team members will analyze your profile. You can send a link to game highlights now or within 72 hours.

Program Information

Primary Program of Interest*

How did you hear about us?*

Student-athlete First Name*

Student-athlete Last Name*

Student-athlete Date of Birth*

Student-athlete Instagram (optional)

International Student?*

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Current School Grade*

High School Graduation Year*

Current Club*

Current League*

Field Position*

Secondary Position (optional)

Dominant Foot*

Highlight Video Link (optional)

Headshot Photo (optional)

Upload Photo

Jersey Size (adult sizing) (optional)

XSSMLXLXXL

Parent/Guardian First Name*

Parent/Guardian Last Name*

Parent/Guardian Email*

Parent/Guardian Phone Number*

I agree to receive text messages from Benfica Residential Academy®

Street*

City*

State*

Postal Code*

Country*

Message (optional)