East of Scotland Soccer Development Association
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Application 10/11

 

 

 

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Membership Application for Season 2010 / 2011

Club Officials listed in your ESSDA application must be the same as the those listed in your SYFA application - Club Secretary and Child Protection Officier.

Age Group

    

Name of Club

    
Name of Team    
Ground    
       
Club Secretary Telephone
Address Email
Postcode    
       
Child Protection Officer Telephone
       
Name of Match Organiser Telephone
Address

email address
Postcode    
Team Coach (1) name telephone
Coaching Qualification email
       
Team Coach (2) name telephone
Coaching Qualification email
       
Team First Aider    
First Aid Qualification    
Please indicate your preferred league    
Pele Maradona Zidane Beckham

The  Membership  Fee  for  Season  2010 / 2011  shall  be  £30.00  Per  Team.

Registrations  will  only  be  accepted  after  approval  by  the  ESSDA  Committee.

We agree with and will abide by the RULES & CONSTITUTION of the East of  Scotland  Soccer Development Association.

We are happy for Match Organiser and Coach Details to be distributed to other coaches
Yes No

     

 

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Last modified: 22 August 2010