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Age Group
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Name of Club
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| Name of Team |
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| Ground |
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| Club Secretary |
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Telephone |
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| Address |
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Email |
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| Postcode |
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| Child Protection
Officer |
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Telephone |
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| Name of Match
Organiser |
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Telephone |
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| Address |
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email address
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| Postcode |
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| Team Coach (1) name |
|
telephone |
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| Coaching Qualification |
|
email |
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| |
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| Team Coach (2) name |
|
telephone |
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| Coaching Qualification |
|
email |
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| Team First Aider |
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| First Aid Qualification |
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| Please
indicate your preferred league |
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| Pele |
Maradona |
Zidane |
Beckenbauer
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|
Beckham |
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The Membership
Fee for Season 2012 shall be
£20 per Team (£10 for Team of 12s 2000s)
Registrations will
only be accepted after approval by
the ESSDA Committee.
We agree with and will abide by the
RULES & CONSTITUTION of the East of Scotland Soccer
Development Association.
|
We are
happy for Match Organiser and Coach Details to be distributed to other
coaches
Yes No |
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