Leicester & District Football League

LEICESTER & DISTRICT FOOTBALL LEAGUE

Player Registration Form Season 2011/2012

Read this form carefully before signing. You can register with one club only in the League in one season UNLESS transferred on a Player Transfer Form. By signing this form you accept responsibility for your share of your club’s debts for the whole season.

I hereby consent to be a registered member of ______FC for the season 2011/2012.

I agree to abide by the rules of the Club, the League and the County Football Association.

I declare that I last played with______FC and am clear on the books of that and all other clubs of which I have been a member.

Please complete the information below in BLOCK CAPITALS.

Surname ______

Forenames ______

Address ______

______

Postcode ______

Date of birth ______

Player signature______Date of signing______

Witness name ______

Address ______

______

Position in club ______

Witness signature______