Mid Sussex Youth and Minor Football League

MID SUSSEX YOUTH AND MINOR FOOTBALL LEAGUE MEMBERSHIP APPLICATION SEASON 2017-2018

This form to be completed in BLOCK LETTERS and returned to the League Secretary John Edwards, 1 Manor Park Homes, New Road, Hellingly, East Sussex. BN27 4EN by 31 May 2017

APPLICANT INFORMATION

Full name of Club: ………………………………………………………………………………………………………………………………………….

(As affiliated to the Clubs’ County Football Association)

Please state other Leagues that application has been submitted:

……………………………………………………………………………………………………………………… ……………………………………………………

Balance of Club Account as at 31 March 2017: £…………………………………………………

Age Groups to be entered: (Age as at 31 August 2017)

Under: 7 8 9 10 11 12 13 14 15 16 17 18 19 21

(Please circle those age groups applying for and complete and return the additional sheets with details of each team and other required information)

SCFA Cup Competitions

Please list age groups that have been entered in SCFA Cup Competitions:

Under:

Sponsors

Please list Club/Team sponsors as sanctioned by the Sussex County FA or relevant County FA

……………………………………………………………………………………………………….. ……………………………………………………………………………………………………….. ………………………………………………………………………………………………………..

Membership Application Form – 9/10/14 – V2 ……………………………………………………………………………………………………….

Emergency Contact Name of a Club Administrator: ……………………………………………………………………...... (This is for League purposes only)

For new Clubs only: Cheque to be attached and to be made payable to Mid Sussex Youth & Minor Football League to cover Entry Fee of £35.00 per Club (All Annual Subscriptions and entry fees for League Cup and additional competitions to be paid separately when advised).

Amount of cheque enclosed: £…………….

A copy of our Clubs’ internal disciplinary Code of Conduct is attached.

For all Clubs: I confirm that: (i) I duly authorise the verification provided by the above Club to submit this Application (ii) To the best of my knowledge, the information submitted in this form is correct (iii) Our Club have adequate changing facilities for the participating teams and match officials. (iv) I am aware that should any aspects of the above details be deemed false, then this will render the application invalid. (v) I agree to advise the Competition of any changes to the Club Officers immediately and to return the Agreement Form signed by the appropriate officials with this application.

Signed…………………………………………………………………………………(Club Secretary)

Date………………………………

Please return all completed forms to the League Secretary: John Edwards, 1 Manor Park Homes, New Road, Hellingly, East Sussex. BN27 4EN

Membership Application Form – 9/10/14 – V2