| FELIXSTOWE & DISTRICT JUNIOR FOOTBALL
LEAGUE |
| APPLICATION FORM
FOR TEAM REGISTRATION BY CLUB (Form to be completed by Club Secretary) |
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| Name of Club: |
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| Suffolk FA Affiliation
Number |
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| League Reg. No |
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| Club Website Address |
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Would you like a link from The FA
website to your Club Website ? Yes / No |
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Child |
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| Club Information |
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Home Address |
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Telephone |
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Protection |
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Name |
Email Address |
(No.or House
Name & Street) |
Address (Cont) |
Post Code |
Home |
Work |
Mobile |
Exp Date |
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| Chairman |
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| Secretary |
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| Welfare
Office |
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| Team Information |
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Child |
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** Level 1 |
Protection |
Telephone |
Texting Results (Mobile
No.s) |
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| 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) |
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Yes / No |
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Yes / No |
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| *
A Mini-soocer team consists of an A and B team. |
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| **
- 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. |
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| ***
- 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. |
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| Other Contacts (Optional) |
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Child |
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** Level 1 |
Protection |
Telephone |
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| Position (i.e.
Asst Mgr / Asst Welfare Officer) |
Age Group (if
applicable) |
Name |
Email Address |
Qualified ? |
Exp Date |
Home |
Work |
Mobile |
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Yes / No |
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| Ground
Location & Pitch Shares Information |
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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 |
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| ***
If more than 4 pitches are used at same venue please continue on next line. |
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(Week A is Opposite to
Week B) |
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| ****
- 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) |
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| LEAGUE RECEIPT |
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| This
Receipt acknowledges that your team is registered to play in the Felixstowe
& District Junior Football League. |
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| (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.) |
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| Club
Name
..
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| SFA
Affiliation Number
...
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League Reg.
Number
.
. |
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| Signed
..
Date
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(League Secretary) |
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| 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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