Partners

6-9 Manor Gardens, Islington,London N7 6LA
M. (Will Cave) 07951 722 479 – (Ash Rahman) 07732 872 022
E. W. crpyouthleague.co.uk

CLUB APPLICATION FORM

MEMBERSHIP SEASON2016/2017

Please fill in this Application Form and returned to C&RPYL, byFriday 1st 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:
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 Details
Name of Treasurer:
Address of Treasurer:
Home Telephone Number:
Mobile Telephone Number:
E-mail Address
Club Child Welfare Officer Details
Name of Child Welfare Officer:
Address of Child Welfare Officer:
Home Telephone Number:
Mobile Telephone Number:
E-mail Address
Club Insurance Details
Name 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 5v5
Name of Manager:
Manager’s FAN Number:
Address of Manager (Incl Postcode):
Home Telephone Number:
Mobile Telephone Number:
E-mail Address
Under 7s Team 5v5
Name 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 7v7
Name of Manager:
Manager’s FAN Number:
Address of Manager (Incl Postcode):
Home Telephone Number:
Mobile Telephone Number:
E-mail Address
Under 9s Team7v7
Name of Manager:
Manager’s FAN Number:
Address of Manager (Incl Postcode):
Home Telephone Number:
Mobile Telephone Number:
E-mail Address
Under 10s Team7v7
Name of Manager:
Manager’s FAN Number:
Address of Manager (Incl Postcode):
Home Telephone Number:
Mobile Telephone Number:
E-mail Address
Under 11s’ Team7v7
Name of Manager:
Manager’s FAN Number:
Address of Manager (Incl Postcode):
Home Telephone Number:
Mobile Telephone Number:
E-mail Address
Under 12s Team7v7
Name of Manager:
Manager’s FAN Number:
Address of Manager (Incl Postcode):
Home Telephone Number:
Mobile Telephone Number:
E-mail Address
Under 12s Team 9v9
Name of Manager:
Manager’s FAN Number:
Address of Manager (Incl Postcode):
Home Telephone Number:
Mobile Telephone Number:
E-mail Address
Under 13s Team 11v11
Name of Manager:
Manager’s FAN Number:
Address of Manager (Incl Postcode):
Home Telephone Number:
Mobile Telephone Number:
E-mail Address
Under 14s Team 11v11
Name of Manager:
Manager’s FAN Number:
Address of Manager (Incl Postcode):
Home Telephone Number:
Mobile Telephone Number:
E-mail Address
Under 15s Team 11v11
Name of Manager:
Manager’s FAN Number:
Address of Manager (Incl Postcode):
Home Telephone Number:
Mobile Telephone Number:
E-mail Address
Under 16s Team 11v11
Name 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 Name
Name 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 Name
Name of Manager:
Manager’s FAN Number:
Address of Manager (Incl Postcode):
Home Telephone Number:
Mobile Telephone Number:
E-mail Address
Under Team Name
Name of Manager:
Manager’s FAN Number:
Address of Manager (Incl Postcode):
Home Telephone Number:
Mobile Telephone Number:
E-mail Address
Under Team Name
Name of Manager:
Manager’s FAN Number:
Address of Manager (Incl Postcode):
Home Telephone Number:
Mobile Telephone Number:
E-mail Address
Under Team Name
Name of Manager:
Manager’s FAN Number:
Address of Manager (Incl Postcode):
Home Telephone Number:
Mobile Telephone Number:
E-mail Address
Under Team Name
Name 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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