| Age Group |
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Name of Club |
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Number of Squads |
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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 |
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telephone |
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| Coaching Qualification |
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email |
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| Team Coach (2) name |
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telephone |
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| Coaching Qualification |
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email |
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| Team Coach (3) name |
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telephone |
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| Coaching Qualification |
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email |
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| Team First Aider |
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| First Aid Qualification |
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The Membership Fee for Season
2012 shall be £15.00 Per Team.
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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