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Bolton Bury & District Junior Football League

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 BBDJFL 2010-2011 Club Application Form

Fill in the form below to submit a team 2010-2011 application form to the BBDJFL.

Club/Team Information

Name of Club/Team
Are you a new club with the league?
County FA
FA Affiliation Number
Team Size
Age Group
Team Colours
Name and location of home ground, including Postcode
Does your club need a council pitch?
Is your club a Charter Standard Club

Please note our rules state that you must be Charter Standard or seeking to become Charter Standard. Any clubs who are deemed not to be attempting to attain this standard may NOT be entered into this league.

Are you prepared to pursue Charter Standard Status

Additional Information

New teams — please advise (in the space below) of previous leagues and relevant position/standard to ensure suitable placement in this league. (Existing teams may also indicate any preferences / issues regards section allocation or clashes with other teams who use your facilities. Please note: None of these requests can be guaranteed)

Club Secretary Information

Full Name
Telephone Number
Postcode
Address Line 1
Address Line 2
Town
County
Email Address

Manager's Information

Full Name
Telephone Number
Postcode
Address Line 1
Address Line 2
Town
County
Email Address
Have your managers/coaches attended a Level 1 course
Child Protection course
Emergency Aid course
CRB Checked

CRB and CP Qualification Holders

We require details of all persons in your TEAM who have a CRB and / or Child Protection (CP) qualification in order to comply with F.A. Guidelines. Please provide those details below.
Name CRB No. CP New Member Delete Member

Confirmation

I (Team Manager) and (Club Official) of Football Club have been provided with a copy of the rules and regulations of the Bolton, Bury & District Junior Football League competition and do hereby agree for and on behalf of the said club, if elected or accepted into membership, to conform to those rules and regulations and to accept, abide by and implement the decisions of the management committee, subject to the right of appeal in accordance with rule 16.

New teams to this league who have played in other leagues last season must attach a clearance certificate or forward one to the General Secretary (Mrs L Allon). Failure to do so will result in your application to this league being suspended.

All applications to be received before 1st August 2010 to the General Secretary: Mrs Lesley Allon, 12 Barnfield Drive, Westhoughton, Bolton, BL5 3UA. Tel (01942) 816619 Cheques made payable to: Bolton, Bury and District JFL

New Club Joining Fee
Registration Fee
Total Cost
 
Security Code
Enter Code   New Code
I agree to the above terms.