Newcastle Minisoccer League application form The League Fees for the new season are £50.00 per team. All applications must be returned with full payment by July 18th 2010 The name of your club:
Club secretary:
County affiliation number:
Main club contact number:
Club contact email address:
Club website address:
Club Welfare officer:
CWO contact number:
Main venue address
Pitches
Teams allocated to venue
Second venue
Pitches
Teams allocated
Please use the next page to supply the FULL NAMES of all the teams from your club entering the Newcastle Minisoccer League for 2010/11. This form must be returned by post to the league secretary as per address below.
Newcastle Minisoccer League – Application Form © 2010 21 Bowfell Avenue, Blakelaw, Newcastle upon Tyne, NE5 3XB
YOUR TEAM DETAILS Please use the forms below to indicate the teams you wish to enter, we would ask that you indicate in order of strength (1 being strongest) where you will be entering more than one team in an age group. Please also ensure you provide a distinctive name for each team (we will NOT accept A, B, C etc). Allocation requests will not be considered unless FULL PAYMENT is received with this form.
UNDER 8 DEVELOPMENT TEAMS Team name
Manager
Tel
Tel
Tel
1 2 3 4 UNDER 9 TEAMS Team name
Manager
1 2 3 4 UNDER 10 TEAMS Team name
Manager
1 2 3 4 We wish to register the teams listed above on behalf of our club for the appropriate age groups as indicated. All managers listed comply with the minimum requirements of FA Level One certificate and hold a current CRB clearance certificate. The deadline for applications is 18th July 2010
Print name: Club Role: Signed: Date: Enclosed fee
£
(Representing £50.00 per team)
Newcastle Minisoccer League – Application Form © 2010 21 Bowfell Avenue, Blakelaw, Newcastle upon Tyne, NE5 3XB