Wisbech St Mary Football Club

9 & 11 A-SIDE TOURNAMENT

Saturday 19th August 2017

Under 13, 14 and 16

Sunday 20th August 2017

Under 11, 15

(Age groups based on 2017/18 season)

Please complete the application form below and return with your non refundable entry fee of £60.00 per eleven a side team.

Please complete in BLOCK CAPITALS

Team name……………………….…………………………………………

Age group – Under…..11…....13..14…..15…..16….. (Please circle)

(Based on 17/ 18 season)

Under 11 = Nine v Nine: Under 13, 14, 15 and 16 = 11v11

Contact name………………………………………………………………

Address………………………………….……………………………………

………….…………………………………......

Post Code………………………

Home & mobile Tel Numbers …………………………………………….

Email address;

County FA Affiliation number......

Which County FA are you affiliated to......

League and Division for 2017/18 season;

......

Tournament E-mail address:

Please provide the following details about your team:

Team Colours;

Shirts;......

Shorts;......

Socks;......

Secretary’s name, telephone no and email address

Name......

Tel No......

Email......

Confirmation of your entry will be sent by e-mail within 14 days of the receipt of your entry fee. If you have not received confirmation please contact Mark Miller.

Entry Fee: U11 - Nine a Side £ 50.00 per Team

Entry Fee: U13, U14, U15 & U16 -Eleven a Side £ 60.00 per Team

Correspondence where suitable will be made via email.

Cheques should be made payable to Wisbech St Mary FC and sent to;

Mark Miller, 8, Holly Avenue, Elm, Wisbech, Cambridgeshire

PE14 0JP.

We reserve the right to refuse entry if any age group is over subscribed or to cancel an age group if there are insufficient entries. Entry is available on a first come first served basis. Please ensure that you are able to field a squad for this tournament, as all entry fees are non refundable. We fully expect as in our previous events that the demand for places will exceed capacity.