England Deaf Football

Season 2016/2017

Clubs Application Form

(Please fill in BLACK ballpoint pen and CAPITAL letters, or type out on computer/laptop/PC)

Club Name: ______

Home Kit Colour: ______

Away Kit Colour: ______

Secretary Name:______

Secretary Address:______

______

______

Secretary e-mail Address:______

SMS:|__|__|__|__|__|__|__|__|__|__|__|(NO SPACES PLEASE – Start with 07…..)

Assist/Alternative Secretary Name: YOU MUST PROVIDE THIS INFORMATION

______

Address: ______

______

______

E-mail: ______

SMS: |__|__|__|__|__|__|__|__|__|__|__| (NO SPACES PLEASE – Start with 07…..)

Name of County F.A.:______

*F.A. Registration No:______

Is your Club in Local League?YES/ NO

Name of your Local League:______

Which day does your Club play in Local League? SATURDAY AM / PM SUNDAY AM / PM

Address of Home Ground:

______

______

**Telephone: |__|__|__|__|__|__|__|__|__|__|__| Mobile: |__|__|__|__|__|__|__|__|__|__|__|

Name of Person for Emergency Contact: ______

E-mail:______

SMS:|__|__|__|__|__|__|__|__|__|__|__|(NO SPACES PLEASE – Start with 07…..)

(*ALL Clubs MUST provide FA Registration/Affiliation number. Failure to do this may result in a fine. **All Clubs must provide Home Ground full details including telephone or mobile.)

Fee: £225 per team for EDF Challenge Cup or League (INCLUSIVE of 25 players registered per team). If you wish to participate in BOTH EDF Challenge Cup and EDF League, the cost will be £250 per team (INCLUSIVE of 25 players registered per team)

Please Tick:

EDF North/South League Divisions & 25 players registered:|__| (£225)

EDF Challenge Cup Competition & 25 players registered|__| (£225)

EDF North/South League Divisions & Challenge Cup Competitions including 25 players registered: |__| (£250)

Please make out the Cheque/P.O. payable to “England Deaf Football”

Bank transfer wire - NatWest (England Deaf Football)

Account Number:- 61191159

Sort Code:- 60-14-55

Please use your team name as heading for the bank transfer so we know that your team have paid. Once you have done the bank transfer, please INFORM us at EDF on and

Closing date for the application: 31st July 2016

IMPORTANT NOTICE

If your payment is late – your club may be subjected to penalty fine(s) for late payment as stated in EDF Rule Book. Your club may also be refrained from the EDF Cup draw until the payment is settled in full. If payment is not received on or by 31st July 2016, your club WILL NOT be entered in the EDF Cup Draw.

EDF CUP Draw will take place on Saturday 6th August 2016

EDF League format will be determined once all entries have been received in full. Subjected to numbers of teams, we may have ONE National league, or North/South leagues.

Please return this form to:

You are also encouraged to fill this form electronically, scan and email attachment to and

For postage – please send to:

EDF Registration Secretary, 13 Woolmans Close, Broxbourne, HERTS, EN10 6PR