East of Scotland Soccer Development Association

Application Form Futsal

Winter Futsal Application for Season 2012

Age Group
Name of Club
Number of teams


Name of Club Organiser		Telephone
Address		email address
Postcode			Please enter a valid email address

Please indicate your preferred venue		6 week programme from 15th January 2012 to 19th February 2012
	Dalkeith	World of Soccer
The Fee for Winter Futsal for Season 2012 shall be £40.00 Per Team. Applications 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.