REGISTRATION FORM

STAFF INFORMATION

I/We are applying to register the Lancashire Junior Soccer League. (use CAPITAL letter)

Team Name:

Dear Sir,

Name

Date:

 D         D         M        M         Y          Y          Y          Y

 D          D           M        M           Y          Y          Y          Y

Under 7

Under 9

Under 8

Staff 1:

Staff 2:

Date of Birth

Address

Address

Town

Town

Postcode

Postcode

County

County

E-mail

Name

Signed

Date

E-mail

Phone

Phone

Leagues to enter:

Manager / Coach

DECLARATION

Please sign and complete the boxes below to confirm: 

1. You are over 18

2. You have read the terms and conditions

3. You agree to pay for the event package

By signing this team entry form you are accepting the o er to enter into this agreement on the terms and conditions set 

out and you will abide by the rules.

Under 11

Under 10

Under 12

Shirt Colour:

 D          D           M        M           Y          Y          Y          Y

Date of Birth

Welcome to the Lancashire junior soccer leagues, in association with the Professional Footballers Scouts Association.

We are confident that all the players will thoroughly enjoy playing in one of the fastest growing development leagues in Lancashire.  

We wish everybody success but most importantly that everyone who takes part has fun and plays with a smile.

1. Please  ll in this form with as much information as possible.

2. You submit the form to Lancashire Junior Soccer Leagues for approval.

3. Lancashire Junior Soccer Leagues will contact you to con rm your form has been received and to discuss your teams

start date.

Lancashire Junior Soccer Leagues. Company Reg No. 10055853 

40 Queen St, Great Harwood, Blackburn, Lancs, BB6 7QQ