LANCASHIRE FOOTBALL LEAGUE REGISTRATION FORM ALL PARTS OF THE FORM MUST BE COMPLETED The following information is accepted as being correct by the Lancashire Football League. It is the responsibility of the club for whom the player registers to verify its authenticity. CLUB NAME ________________________________________________________________________________ NAME OF PLAYER __________________________________________________________________________ (Name in full, FAMILY NAME FIRST) HAS THE PLAYER BEEN RELEASED FROM HIS PREVIOUS CLUB?     YES/NO/NOT APPLICABLE                                                                                                                                        (DELETE AS NECESSARY) HAS INTERNATIONAL CLEARANCE BEEN OBTAINED, IF REQUIRED?YES/NO/NOT APPLICABLE                                                                                                                                                                                                                   (DELETE AS NECESSARY)             . PLAYER'S FULL ADDRESS_____________________________________________________________________________________ _________________________________________________  POSTCODE  ________________________________ PLAYER'S DATE OF BIRTH _______________________ PLACE OF BIRTH ____________________________ NAME OF PREVIOUS CLUB ____________________________________________________________________ SIGNATURE OF PLAYER  ______________________________________________________________________   SIGNATURE OF CLUB SECRETARY ____________________________________________________________ (To be signed in ALL cases)                                                                                                              REGISTRATION  DATE_________________________________________   ENQUIRIES TO: TELEPHONE _______________________________  FAX _______________________________ E-MAIL _______________________________________________________________________________________  ______________________________________________________________________________________________      CONSENT OF  PLAYER'S PARENT OR GUARDIAN TO THIS REGISTRATION  (to be given in ALL cases where the player is aged UNDER 18 years) PARENT OR GUARDIAN'S SIGNATURE _________________________________________________________ __________________________________________________________________________________________ WITNESS TO ALL OF THE ABOVE SIGNATURES (For LATE Registrations only ) _________________________________________________________________________________________ ADDRESS OF WITNESS _________________________________________________________________________________________ _________________________________________________________________________________________ ___________________________________________________________________________________________ FAX OR POST THIS FORM (KEEP A COPY) TO - LANCASHIRE LEAGUE REGISTRATION SECRETARY,  2, REPTON AVENUE,MORECAMBE,LANCASHIRE LA4 6RZ  or FAX to 01524-426321, REGISTRATION ENQUIRIES TO 01524-425242 OR BY E-MAIL TO registrationlancashire@hotmail.com (07-10)