GalaxyFootball.co.uk LANCASHIRE LEAGUE

PLAYER'S REGISTRATION

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COPY THE BELOW REGISTRATION FORM AND PASTE INTO WORD OR ANY OTHER WORD PROCESSING PROGRAM.
EITHER FILL THE FORM IN WORD OR PRINT A COPY AND FILL IN WITH INK. RETAIN A COPY FOR YOUR CLUB'S RECORDS

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 &ldots;&ldots;&ldots;&ldots;&ldots;&ldots;&ldots;&ldots;&ldots;&ldots;&ldots;&ldots;&ldots;&ldots;&ldots;.&ldots;&ldots;&ldots;&ldots;&ldots;&ldots;&ldots;&ldots;&ldots;&ldots;&ldots;&ldots;&ldots;&ldots;&ldots;&ldots;&ldots;&ldots;&ldots;&ldots;&ldots;&ldots;&ldots;&ldots;&ldots;&ldots;&ldots;..&ldots;.&ldots;&ldots;&ldots;

NAME OF PLAYER&ldots;&ldots;&ldots;&ldots;&ldots;&ldots;&ldots;&ldots;&ldots;&ldots;&ldots;&ldots;&ldots;&ldots;&ldots;&ldots;&ldots;&ldots;&ldots;&ldots;&ldots;&ldots;&ldots;&ldots;&ldots;&ldots;&ldots;&ldots;&ldots;&ldots;&ldots;&ldots;&ldots;&ldots;&ldots;&ldots;&ldots;&ldots;&ldots;&ldots;&ldots;.&ldots;&ldots;&ldots;.

(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 &ldots;&ldots;&ldots;&ldots;&ldots;&ldots;&ldots;&ldots;&ldots;.&ldots;&ldots;&ldots;&ldots;&ldots;&ldots;&ldots;&ldots;&ldots;&ldots;&ldots;&ldots;&ldots;&ldots;&ldots;&ldots;&ldots;..&ldots;&ldots;&ldots;&ldots;&ldots;&ldots;&ldots;&ldots;&ldots;&ldots;&ldots;..&ldots;..

&ldots;&ldots;....................................................................................................................POSTCODE&ldots;&ldots;&ldots;&ldots;..............&ldots;&ldots;&ldots;&ldots;&ldots;&ldots;&ldots;&ldots;..

PLAYER'S DATE OF BIRTH &ldots;&ldots;&ldots;&ldots;&ldots;&ldots;&ldots;&ldots;&ldots;&ldots;&ldots;&ldots;.. PLACE OF BIRTH &ldots;&ldots;&ldots;&ldots;&ldots;&ldots;&ldots;..&ldots;&ldots;&ldots;&ldots;&ldots;&ldots;&ldots;&ldots;&ldots;&ldots;&ldots;

 

NAME OF PREVIOUS CLUB &ldots;&ldots;&ldots;&ldots;&ldots;&ldots;&ldots;&ldots;&ldots;&ldots;&ldots;&ldots;&ldots;&ldots;&ldots;&ldots;&ldots;&ldots;&ldots;&ldots;&ldots;&ldots;&ldots;&ldots;&ldots;&ldots;&ldots;&ldots;&ldots;&ldots;&ldots;&ldots;&ldots;&ldots;&ldots;&ldots;&ldots;&ldots;&ldots;..

SIGNATURE OF PLAYER&ldots;&ldots;&ldots;&ldots;&ldots;&ldots;&ldots;&ldots;.&ldots;&ldots;&ldots;&ldots;&ldots;&ldots;&ldots;&ldots;&ldots;&ldots;&ldots;&ldots;&ldots;&ldots;&ldots;&ldots;&ldots;&ldots;&ldots;&ldots;&ldots;&ldots;&ldots;&ldots;&ldots;&ldots;&ldots;&ldots;&ldots;.&ldots;&ldots;&ldots;..

 

SIGNATURE OF CLUB SECRETARY &ldots;&ldots;&ldots;&ldots;&ldots;&ldots;&ldots;&ldots;....&ldots;&ldots;&ldots;&ldots;&ldots;&ldots;&ldots;&ldots;&ldots;&ldots;&ldots;&ldots;&ldots;&ldots;&ldots;&ldots;&ldots;&ldots;&ldots;&ldots;&ldots;&ldots;&ldots;&ldots;..&ldots;&ldots;&ldots;
(To be signed in ALL cases) 

                                                                                                            REGISTRATION  DATE&ldots;&ldots;&ldots;&ldots;&ldots;&ldots;.&ldots;&ldots;&ldots;&ldots;&ldots;&ldots;
ENQUIRIES TO: TELEPHONE &ldots;&ldots;&ldots;&ldots;&ldots;&ldots;&ldots;&ldots;&ldots;&ldots;&ldots;&ldots;&ldots;&ldots;&ldots;&ldots;FAX &ldots;&ldots;&ldots;&ldots;&ldots;&ldots;&ldots;&ldots;&ldots;&ldots;&ldots;&ldots;&ldots;&ldots;&ldots;.&ldots;&ldots;&ldots;&ldots;&ldots;..

E-MAIL &ldots;&ldots;&ldots;&ldots;&ldots;&ldots;&ldots;&ldots;&ldots;&ldots;&ldots;&ldots;&ldots;&ldots;&ldots;&ldots;&ldots;&ldots;&ldots;&ldots;&ldots;&ldots;&ldots;&ldots;&ldots;&ldots;&ldots;&ldots;&ldots;&ldots;&ldots;&ldots;&ldots;&ldots;&ldots;&ldots;&ldots;&ldots;&ldots;..&ldots;&ldots;&ldots;&ldots;&ldots;&ldots;&ldots;&ldots;&ldots;&ldots;

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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 &ldots;&ldots;&ldots;&ldots;&ldots;&ldots;&ldots;&ldots;&ldots;&ldots;&ldots;&ldots;&ldots;&ldots;&ldots;&ldots;&ldots;&ldots;&ldots;&ldots;&ldots;&ldots;&ldots;&ldots;&ldots;&ldots;&ldots;&ldots;&ldots;&ldots;&ldots;&ldots;&ldots;&ldots;..

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WITNESS TO ALL OF THE ABOVE SIGNATURES 

(For LATE Registrations only ) .&ldots;&ldots;&ldots;&ldots;&ldots;&ldots;&ldots;&ldots;&ldots;&ldots;&ldots;&ldots;&ldots;&ldots;&ldots;&ldots;&ldots;&ldots;&ldots;&ldots;&ldots;&ldots;&ldots;&ldots;&ldots;&ldots;..&ldots;&ldots;&ldots;&ldots;&ldots;&ldots;...&ldots;&ldots;&ldots;&ldots;&ldots;..&ldots;.

ADDRESS OF WITNESS &ldots;&ldots;&ldots;&ldots;&ldots;&ldots;&ldots;&ldots;&ldots;&ldots;&ldots;&ldots;&ldots;&ldots;&ldots;&ldots;&ldots;&ldots;&ldots;.&ldots;&ldots;&ldots;&ldots;&ldots;&ldots;&ldots;&ldots;&ldots;&ldots;.&ldots;&ldots;&ldots;&ldots;&ldots;&ldots;&ldots;&ldots;&ldots;&ldots;&ldots;&ldots;.

&ldots;&ldots;&ldots;&ldots;&ldots;&ldots;&ldots;&ldots;&ldots;&ldots;&ldots;..&ldots;&ldots;&ldots;&ldots;&ldots;&ldots;&ldots;&ldots;&ldots;&ldots;&ldots;&ldots;&ldots;&ldots;&ldots;&ldots;.&ldots;&ldots;&ldots;&ldots;&ldots;&ldots;&ldots;&ldots;&ldots;&ldots;&ldots;&ldots;&ldots;&ldots;&ldots;&ldots;&ldots;&ldots;&ldots;&ldots;&ldots;&ldots;&ldots;&ldots;&ldots;..

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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)