Club Entry Form Season 2023/24 Apply using the form below / Application deadline 30/04/2023

CLICK TO DOWNLOAD ENTRY CRITERIA

Fill in the form below to apply:

FOOTBALL CLUB DETAILS

Name of Football Club:

Home Kit colours:

Team Name:

Away Kit Colours:

Name of Main Contact- Football Club:

Email:

Mobile No:

Name of Finance Contact for Invoice:

Email for invoice:

Address for Invoice:

EDUCATION PARTNER (if applicable)

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:

Email:

TEAM ENTRIES MALE PLEASE ENTER "YES" UNDER THE DIVISION YOU WISH TO ENTER *divisions may be subject to change as new teams join to minimise travel

SOUTH PREMIER DIVISION U23:

NORTH PREMIER DIVISION U23:

MIDLANDS PREMIER DIVISION U23:

CUP ENTRIES - MALE

U23 LEAGUE CUP:

NO OF TEAMS:

FEES CLUB ENTRY £300 AFFILIATION £450 PER TEAM LEAGUE CUP £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 PLEASE ENTER "YES" UNDER THE DIVISION YOU WISH TO ENTER *divisions may be subject to change as new teams join to minimise travel

SOUTH PREMIER DIVISION U23 FEMALE:

NORTH PREMIER DIVISION U23 FEMALE:

MIDLANDS PREMIER DIVISION U23 FEMALE:

CUP ENTRIES - FEMALE

U23 LEAGUE CUP:

NO OF TEAMS:

FEES CLUB ENTRY £300 AFFILIATION £450 PER TEAM LEAGUE CUP £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.