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
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CAMDEN & REGENTS PARK YOUTH FOOTBALL …crpyouthleague.co.uk/.../CRPYL_Application_Form_2016_17.docx · Web viewCAMDEN & REGENTS PARK YOUTH FOOTBALL LEAGUE Subject APPLICATION FORM
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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:
3
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:
4
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