CAMDEN & REGENTS PARK YOUTH FOOTBALL...

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Partners 6-9 Manor Gardens, Islington, London N7 6LA M. (Will Cave) 07951 722 479 – (Ash Rahman) 07732 872 022 E. [email protected] W. crpyouthleague.co.uk CLUB APPLICATION FORM MEMBERSHIP SEASON 2016/2017 Please fill in this Application Form and returned to C&RPYL, by Friday 1 st July 2016 . The cost of entry to the League is £245.00 per team (U8-16s) and £125 (U6- 7s), cheques made payable to C&RPYL or read email with full Bank details confirmed. Club Details Name of Club: Club Affiliation No. : Club Colours: HOME Shirt: Short: Socks: Club Colours: AWAY Shirt: Short: Socks: Club Secretary Details Name of Secretary: Address of Secretary (incl Postcode) Home Telephone Number: Mobile Telephone Number: E-mail Address Club Chairman Details Name of Chairman: Address of Chairman: 1

Transcript of CAMDEN & REGENTS PARK YOUTH FOOTBALL...

Partners

6-9 Manor Gardens, Islington, London N7 6LAM. (Will Cave) 07951 722 479 – (Ash Rahman) 07732 872 022

E. [email protected] W. crpyouthleague.co.uk

CLUB APPLICATION FORM MEMBERSHIP SEASON 2016/2017

Please fill in this Application Form and returned to C&RPYL, by Friday 1 st July 2016 .The cost of entry to the League is £245.00 per team (U8-16s) and £125 (U6-7s), cheques made payable to C&RPYL or read email with full Bank details confirmed.

Club DetailsName of Club:

Club Affiliation No. :

Club Colours: HOME Shirt: Short: Socks:Club Colours: AWAY Shirt: Short: Socks:

Club Secretary DetailsName of Secretary:Address of Secretary (incl Postcode)

Home Telephone Number:Mobile Telephone Number:E-mail Address

Club Chairman DetailsName of Chairman:Address of Chairman:

Home Telephone Number:Mobile Telephone Number:E-mail Address

Camden and Regent’s Park Youth League is a company limited by guarantee.Registered in England No. 07673847

Club Treasurer DetailsName of Treasurer:

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Address of Treasurer:

Home Telephone Number:Mobile Telephone Number:E-mail Address

Club Child Welfare Officer DetailsName of Child Welfare Officer:Address of Child Welfare Officer:

Home Telephone Number:Mobile Telephone Number:E-mail Address

Club Insurance DetailsName of Insurer:Insurer Telephone Number:Policy Number:

Policy Start Date:Policy End Date:E-mail Address

Team Details – please complete as necessary, including manager(s) full name and contact details

Under 6s Team 5v5Name of Manager:

Manager’s FAN Number:

Address of Manager (Incl Postcode):

Home Telephone Number:

Mobile Telephone Number:

E-mail Address

Under 7s Team 5v5Name of Manager:

Manager’s FAN Number:

Address of Manager (Incl Postcode):

Home Telephone Number:

Mobile Telephone Number:

E-mail Address

Camden and Regent’s Park Youth League is a company limited by guarantee.Registered in England No. 07673847

Under 8s Team 7v7Name of Manager:

Manager’s FAN Number:

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Address of Manager (Incl Postcode):

Home Telephone Number:

Mobile Telephone Number:

E-mail Address

Under 9s Team 7v7Name of Manager:

Manager’s FAN Number:

Address of Manager (Incl Postcode):

Home Telephone Number:

Mobile Telephone Number:

E-mail Address

Under 10s Team 7v7Name of Manager:

Manager’s FAN Number:

Address of Manager (Incl Postcode):

Home Telephone Number:

Mobile Telephone Number:

E-mail Address

Under 11s’ Team 7v7Name of Manager:

Manager’s FAN Number:

Address of Manager (Incl Postcode):

Home Telephone Number:

Mobile Telephone Number:

E-mail Address

Under 12s Team 7v7Name of Manager:

Manager’s FAN Number:

Address of Manager (Incl Postcode):

Home Telephone Number:

Mobile Telephone Number:

E-mail Address

Under 12s Team 9v9Name of Manager:

Manager’s FAN Number:

Address of Manager (Incl Postcode):

Home Telephone Number:

Mobile Telephone Number:

E-mail Address

Under 13s Team 11v11Name of Manager:

Manager’s FAN Number:

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Address of Manager (Incl Postcode):

Home Telephone Number:

Mobile Telephone Number:

E-mail Address

Under 14s Team 11v11Name of Manager:

Manager’s FAN Number:

Address of Manager (Incl Postcode):

Home Telephone Number:

Mobile Telephone Number:

E-mail Address

Under 15s Team 11v11Name of Manager:

Manager’s FAN Number:

Address of Manager (Incl Postcode):

Home Telephone Number:

Mobile Telephone Number:

E-mail Address

Under 16s Team 11v11Name of Manager:

Manager’s FAN Number:

Address of Manager (Incl Postcode):

Home Telephone Number:

Mobile Telephone Number:

E-mail Address

Additional Teams Entered and Confirmed:

Under Team NameName of Manager:

Manager’s FAN Number:

Address of Manager (Incl Postcode):

Home Telephone Number:

Mobile Telephone Number:

E-mail Address

Camden and Regent’s Park Youth League is a company limited by guarantee.Registered in England No. 07673847

Under Team NameName of Manager:

Manager’s FAN Number:

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Address of Manager (Incl Postcode):

Home Telephone Number:

Mobile Telephone Number:

E-mail Address

Under Team NameName of Manager:

Manager’s FAN Number:

Address of Manager (Incl Postcode):

Home Telephone Number:

Mobile Telephone Number:

E-mail Address

Under Team NameName of Manager:

Manager’s FAN Number:

Address of Manager (Incl Postcode):

Home Telephone Number:

Mobile Telephone Number:

E-mail Address

Under Team NameName of Manager:

Manager’s FAN Number:

Address of Manager (Incl Postcode):

Home Telephone Number:

Mobile Telephone Number:

E-mail Address

Under Team NameName of Manager:

Manager’s FAN Number:

Address of Manager (Incl Postcode):

Home Telephone Number:

Mobile Telephone Number:

E-mail Address

Affiliated and associated with Amateur Football Alliance

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