Garforth Junior Football League

SOUTH CHESHIRE YOUTH LEAGUE

REGISTRATION FORM 2017-2018 Season

1. / Please complete ONE form per TEAM entered. Please complete in BLOCK CAPITALS.
2. / This form must be sent to the League Secretary BEFORE 15/06/17. Any forms submitted after this date may not be accepted at the league’s discretion.
Name of the Football Club: / (* Circle appropriate choices)
FA Charter standard status: / * Approved / * Awaiting approval / * Not applied for
Charter standard level achieved: / * Standard / * Development / * Community
IMPORTANT NOTE: In accordance with the FA Football Development Strategy to promote the FA Charter Standard Scheme to all affiliated clubs, the South Cheshire Youth League is now a CS League. Because of this, ALL member clubs will be encouraged to achieve Charter Status, at least the minimum level before the commencement of the coming season. See the League Secretary for more information and assistance.

Club Secretary’s details

Secretary’s name:
Secretary’s address:
Post Code:
e-mail address:
Home Tel. No.: / Work Tel. No.:
Mobile Tel. No.: / Fax No.:
Club Treasurer’s details
Treasurer’s name:
Treasurer’s address:
Post Code:
e-mail address:
Home Tel. No.: / Work Tel. No.:
Mobile Tel. No.: / Fax No.:

Designated Child Welfare Officer’s details (DCWO)

DCWO’s name:
DCWO’s address:
Post Code:
e-mail address:
Home Tel. No.: / Work Tel. No.:
Mobile Tel. No.: / Fax No.:
CRB Registration No.
Safe Guarding Children Cert. / Expiry date

Referees - If the Club has its own qualified referee(s) please give details, use separate sheets if needed.

Referee’s name:
Referee’s address:
Post Code:
e-mail address:
Home Tel. No.: / Work Tel. No.:
Mobile Tel. No.: / Fax No.:
CRB Registration No.
Name of Club: / Age level: / U
Preferred Ground and Kick Off Time (Home Kick Off Times will be adhered to where possible):
Description of ground location:

Normal team colours

Alternative team colours

Shirts

Shorts

Socks

Team Manager’s details
Manager’s name:
Manager’s address:
Post Code:
e-mail address:
Mobile Tel. No.: / Home Tel. No.:
CRB Registration No.

Recognised Coaching Qualifications obtained

Date / Qualification received / Date / Qualification received
Are they a member of the FA Coaches Association or other local coaching associations? / Yes / No
Membership No.:
Completed an FA accredited child protection course? / Yes / No
Completed an FA approved emergency aid course? / Yes / No
Safeguarding Children in Football Cert. / Expiry date
Name of club: / Age level: / U
Details for the Cheshire County FA
1 / Name of the County Association or Association to which the Club belongs.
2 / Names of Competitions in which the Club played last season
3 / Names of all Competitions in which the Club proposes to compete this season. The league retains the right to not allow release from fixtures for competitions not disclosed, or competitions outside of Cheshire FA and Crewe and District DFA jurisdiction. The league will not move games for any teams not playing in the SCYL (This includes players playing for teams outside of the SCYL)
4 / Affiliation No. for the coming season paid to County Association or Association as in 1. (If not known at this time please forward when you get it. Teams will not be permitted to play until the league receives your affiliation number)

AGREEMENT

The following Agreement shall be signed by the Club Secretary and/or Team Manager and one other responsible Club Member:
On behalf of (name of club):
1 / We have been provided with a copy of the Rules and regulations of the South Cheshire Youth League and do hereby agree for and on behalf of the said Club, to, if elected or accepted into membership, conform to those Rules and Regulations, and to accept, abide by and implement the decisions of the Management Committee of the League, subject to the right of appeal in accordance with the Rules.”
2 / In the event of having been declared the winner of a South Cheshire Youth League Cup / Trophy and the same having been delivered to us by the League, jointly agree to return the same to the League Secretary on or before the March League meeting in 2018 and providing the said Cup / Trophy is lost or damaged whilst under our care we agree to refund to the League the amount of its current value or the cost of its thorough repair.
3 / Permission must be obtained from the League if any team is desirous of altering any of the details entered on this form.
4 / This Registration form shall be lodged with LEAGUE SECRETARY prior to the AGM.
SIGNED (Club Secretary or Team Manager) / SIGNED(Other responsible Club Member)
(Please also print Name of the signatory) / (Please also print Name of the signatory)

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