MALE U19/FEMALE U21 Club Entry Form Season 2024/25 Apply using the form below / Application deadline 30/04/2024

Fill in the form below to apply:

VIEW ENTRY CRITERIA

FOOTBALL CLUB DETAILS

Name of Football Club:

Home Kit colours:

Team Name:

Away Kit Colours:

Name of Main Contact- Football Club:

Mobile No:

Email for invoice:

Email:

Name of Finance Contact for Invoice:

Address for invoice:

EDUCATION PARTNER

Name of Education Partner:

Is education delivered at the football club?

Name of Head Coach:

Highest Coaching Qualification:

Name of GK Coach:

Qualification:

Name of Physio/Sports therapist:

Qualification:

Name of Head of Safeguarding:

Qualification:

Safeguarding Email:

Name of Team Administrator:

Email:

Mobile Number:

Please note information is not given to third parties:

TEAM ENTRIES MALE U19 PLEASE ENTER "YES" UNDER THE DIVISION YOU WISH TO ENTER *divisions may be subject to change as new teams join to minimise travel and subject to promotion/relegation in accordance with league rules. If you are unsure which division to select, please select either South or North.

SOUTH MALE:

SOUTH PREMIER MALE:

SOUTH CHAMPIONSHIP MALE:

SOUTH DIVISION ONE:

SOUTH RESERVES (FRIDAY) MALE:

NORTH MALE:

NORTH PREMIER MALE:

NORTH CHAMPIONSHIP MALE:

NORTH DIVISION ONE:

NORTH RESERVES (FRIDAY) MALE:

CUP ENTRIES - MALE

CUP ENTRY:

NO OF TEAMS:

FEES CLUB ENTRY £300 AFFILIATION £450 PER TEAM CUP ENTRY £50 PER TEAM

Total No of Male Team Entries to League:

Total No of Male Cup Entries:

The £300 entry fee is payable on receipt of the entry form.

The £450 affiliation fee per team and cup entries are due on or before July 1st 2024. Entries will be not accepted if payment of the entry fee has not been received, this will be returned in the event of non-election at the AGM.

FOOTBALL CLUB ADDRESS

Address Line 1:

Address Line 2:

City/Town:

Postcode:

Country:

Telelphone No:

TRAINING DETAILS AND VENUES

TRAINING VENUE:

Grass or AGP:

Address:

Postcode:

Address line 2:

No of Training Sessions a Week:

No of Goalkeeper Training Sessions a week:

MATCHDAY VENUE (MAIN):

Grass or AGP:

Address:

Dimensions:

Address line2:

Postcode:

MATCHDAY VENUE (2nd):

Grass or AGP:

Address:

Dimensions:

Address line2:

Postcode:

TEAM ENTRIES FEMALE U21 PLEASE ENTER "YES" UNDER THE DIVISION YOU WISH TO ENTER *divisions may be subject to change as new teams join to minimise travel and subject to promotion/relegation in accordance with league rules.

SOUTH PREMIER FEMALE:

SOUTH CHAMPIONSHIP FEMALE:

SOUTH RESERVES (FRIDAY) FEMALE:

NORTH PREMIER FEMALE:

NORTH CHAMPIONSHIP FEMALE:

NORTH RESERVES (FRIDAY) FEMALE:

CUP ENTRIES - FEMALE

CUP ENTRY:

NO OF TEAMS:

FEES CLUB ENTRY £300 PER TEAM AFFILIATION £450 PER TEAM CUP ENTRY £50 PER TEAM

Total No of Female Team Entries to League:

Total No of Female Cup Entries:

The £300 entry fee is payable on receipt of the entry form.

Name of Senior Manager at Football Club:

Signature of Senior Manager at Football Club:

Please confirm:

I confirm that I have read the entry criteria and that the football club has the league entry criteria in place for Season 2024-25. I understand that the club entry fee of £300 will be invoiced on submission of the entry form. This will be returned in the event of non-election at the AGM.

Date: