Sports Pitch Registration

Name of Club:

Name and Address of Secretary:

Telephone Number:    Daytime:    Evening:

E-mail Address:

Name of League:

Number of Teams:    Junior:    Senior:

Age Group of Teams (e.g. under 10s):

Please provide the names and telephone numbers of two additional club members who can be contacted during normal office hours in the absence of the above:

Name:    Telephone Number:

Name:    Telephone Number:

Preferred Choice of Ground:

1st Choice:    2nd Choice:

Average Number of Games played on:

Home Pitch:    Juniors:    Seniors:

Please select when the club usually plays:

Saturday AM

Saturday PM

Sunday AM

Sunday PM

Other (please state):

When do you train?    Where do you train?

Name and Address of Account for Invoicing if Different from Above:

Insurer's Name:    Policy Number:

Expiry Date:

Please note no bookings will be made until a copy of the above insurance certificate has been received.

 

 

I wish to apply on behalf of the above club for Value Added Tax exemption under the terms and conditions outlined in the booking regulations.

I, , hereby certify that I am eighteen years of age or over and I have received a copy of the Booking Conditions and Regulations and agree to abide by them.