Club Name

Club Name              Team Name     


   Saturday League      Sunday League  Boys  Girls


Age Group

 U11  

 U12

 U13

 U14

 U15

 U16

 U18

 

Managers Name              Managers Email              Managers Mobile No          Managers FAN Number

Email Address


Managers Address                            Managers Postcode

                 


Second Contact Name                 Second Contact Email                Second Contact Mobile

                         


Second Contact FAN Number



Registered Club address with the clubs local youth division  

       

Team Colours

                                                   

Alternative Colours


Home Pitch LocationYour Home Pitch location


Home Pitch Postcode


County Affiliated                            County Affiliation Number:


ALL TEAMS MUST BE INSURED FOR PUBLIC LIABILITY ALSO SICKNESS AND ACCIDENT PLEASE GIVE THE FOLLOWING INFORMATION.


Name of insurance company      Policy number

               


Submitted By                                   Date

                 


Enter a keyword Below to allow you to submit the form


NEYDL League entry fees will need to be sent to NEYDL , Amberley Park,Garth 21,Killingworth Newcastle Upon Tyne NE12 6SE.

NEW TEAMS MUST PAY A BOND OF £10-00 in addition to league Fees of £45

 

ALL CHEQUES TO BE MADE OUT TO NEYDL

Or tick here if you wish to pay by BANK TRANSFER  

 

 WE WILL READ AND ABIDE BY THE LEAGUES CONSTITUTION, RULES AND CODE OF CONDUCT.