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FELIXSTOWE & DISTRICT JUNIOR FOOTBALL LEAGUE
APPLICATION FORM FOR TEAM REGISTRATION BY CLUB (Form to be completed by Club Secretary)
Name of Club:  
Suffolk FA Affiliation Number  
League Reg. No  
Club Website Address   Would you like a link from The FA website to your Club Website ? Yes / No
Child
Club Information Home Address Telephone     Protection
Name Email Address (No.or House Name & Street) Address (Cont) Post Code Home Work Mobile Exp Date
Chairman                  
Secretary                  
Welfare Office                  
Team Information Child
** Level 1 Protection Telephone Texting Results (Mobile No.s)
Team Name * (if different from Club Name) Age Group Managers Name Managers email Address Qualified ? Exp Date Home Work Mobile 1st No. 2nd No. Team Colours (Home)
        Yes / No              
        Yes / No              
        Yes / No              
        Yes / No              
        Yes / No              
        Yes / No              
        Yes / No              
        Yes / No              
        Yes / No              
        Yes / No              
        Yes / No              
        Yes / No              
        Yes / No              
        Yes / No              
        Yes / No              
        Yes / No              
        Yes / No              
        Yes / No              
        Yes / No              
* A Mini-soocer team consists of an A and B team.
** - All Managers should be qualified to Coaching Course Level 1, you need to be aware that it is League requirement for managers to hold this qualification and you may be required to confirm your intention to attend this course at a future date.
*** - Texting Results - For 11 A side team upto 2 numbers can be submitted. For Mini-Soccer the 1st No to be used for A Team with the 2nd No. for B Team. 
Other Contacts (Optional) Child
** Level 1 Protection Telephone
Position (i.e. Asst Mgr / Asst Welfare Officer) Age Group (if applicable) Name Email Address Qualified ? Exp Date Home Work Mobile
        Yes / No        
        Yes / No        
        Yes / No        
        Yes / No        
        Yes / No        
        Yes / No        
        Yes / No        
        Yes / No        
        Yes / No        
        Yes / No        
        Yes / No        
        Yes / No        
        Yes / No        
        Yes / No        
        Yes / No        
        Yes / No        
        Yes / No        
        Yes / No        
        Yes / No        
Ground Location & Pitch Shares Information
Pitch 1 **** Pitch 2 **** Pitch 3 **** Pitch 4 ****
Name of Venue *** No. of Pitches at Venue Address Address (Cont) Postcode Week A Week B Week A Week B Week A Week B Week A Week B
                         
                         
                         
                         
                         
                         
                         
*** If more than 4 pitches are used at same venue please continue on next line. (Week A is Opposite to Week B)
**** - Enter the teams which are going to play on each pitch (including teams from other clubs, i.e. Pitch 1 - Week A - 8's and Week B - 9's; Pitch 2 - Week A - 12's and Week B - 12's Reserves; Pitch 3 - Week A - 14's's and Week B - Any Team 15's)
                         
LEAGUE RECEIPT
This Receipt acknowledges that your team is registered to play in the Felixstowe & District Junior Football League.
(However if you fail to register all your squad players by the required date your team registration will be void and you will NOT be able to play in the League competitions.)
Club Name………………………………………………………………………………………..……
SFA Affiliation Number …………………………………...……………...………League Reg. Number………………………………………………….………………….
Signed……………………………………………………………………………..…………… Date……………………………...…………(League Secretary)
Please note that the League requires that all Managers, Players and Parents are made aware of the League Code of Conduct provided with this application form.

 

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