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:

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 (WEDNESDAY) MALE:

SOUTH CENTRAL DIVISION (WEDNESDAY) MALE:

SOUTH RESERVES (WEDNESDAY) MALE:

MIDLANDS PREMIER DIVISION MALE:

MIDLANDS RESERVES (WEDNESDAY) MALE:

NORTH PREMIER DIVISION (WEDNESDAY) MALE:

NORTH RESERVES (WEDNESDAY) MALE:

SOUTH WEST DIVISION (WEDNESDAY) MALE:

SOUTH DIVISION (WEDNESDAY) MALE:

SOUTH RESERVES (FRIDAY) MALE:

MIDLANDS DIVISION (WEDNESDAY) MALE:

MIDLANDS RESERVES (FRIDAY) MALE:

NORTH DIVISION (WEDNESDAY) MALE:

NORTH RESERVES (FRIDAY) MALE:

CUP ENTRIES - MALE

U23 LEAGUE CUP:

NO OF TEAMS:

U23 LEAGUE CUP:

NO OF TEAMS:

Teams will be entered into the Trophy competition at no extra charge after exiting the first round of the League cup. Teams may opt out of the Trophy

FEES CLUB ENTRY £300 AFFILIATION £450 PER TEAM LEAGUE CUP £50 PER TEAM (INCLUDES TROPHY)

Total No of Male Team Entries to League:

Total No of Male Cup Entries :

Once entries are approved invoices will be sent to the finance contact. Payment is due by 1st July 2020.

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

NATIONAL PREMIER DIVISION FEMALE:

SOUTH RESERVES/DEV (FRIDAY) FEMALE:

NORTH RESERVES (FRIDAY) FEMALE:

SOUTH DIVISION WEDS FEMALE:

NORTH DIVISION WEDS FEMALE:

CUP ENTRIES - FEMALE

LEAGUE CUP:

NO OF TEAMS:

LEAGUE CUP:

NO OF TEAMS:

There will be a Trophy competition for women if numbers allow.

FEES AFFILIATION £450 PER TEAM LEAGUE CUP £50 PER TEAM (INCLUDES TROPHY)

Total No of Female Team Entries to League:

Total No of Female Cup Entries :

Once entries are approved invoices will be sent to the finance contact. Payment is due by 1st July 2020.