Application for Membership 2011-12

* required.

*Club Name: *SYFA Club ID: *Age group:
*Secretary:
*Address:
*Post Code: *Tel No: *Mobile:
*Alt Contact: *Tel No: *Mobile:
*Colours: *Alt Colours:
*Ground: *Alt Ground:
(if you have one)
Surface - grass or 3rd generation or above ONLY (PLEASE INDICATE):

Qualifying Dates for Each Group

19's - 1993 (play day )
17's - 1995
16's - 1996
15's - 1997
 14's - 1998
13's - 1999
At 19' please indicate whether or not you wish to play SATURDAY or SUNDAY

 

Kick off times will be
13s - 10/11am
14/15 - noon
16/17/19s - 2pm

 
On acceptance into membership, we the undersigned officials of the above named club agree to accept and to abide by the constitution of the league.
*President: Signature:

 
*Secretary: Signature:

 
*Protection Officer: *Disclosure Number:
*Address: *Post Code:
*Tel No:
*First Aid Officer: *Disclosure Number:
*Address: *Post Code:
*Tel No:
*Certificate Number (please include expiry date): *Email:

Other Officials
Name: Disclosure Number:
Address: Post Code:
Name: Disclosure Number:
Address: Post Code:
Name: Disclosure Number:
Address: Post Code:
Name: Disclosure Number:
Address: Post Code:
Name: Disclosure Number:
Address: Post Code:
Notes: All new Clubs must on application submit a copy of the Club Constitution including player protection clause. Relevant Fees for ALL clubs is £60.00 league fees + £50.00 Good faith bond (if you paid £50 at the start of the 2010/2011 season to the GADFYL then no payment is necessary as the GFB applies to NEW CLUBS ONLY) + £13.00 Western Regional Development Fee. Cheques/Postal Orders should be made payable to GADYFL and fees must be paid by FRI 15th JULY 2011 or the league fees will rise to £70.00 therafter for clubs paying after the stated date. It is the responsibilty of each league to issue Association Application Forms.

Please print out this form and get it signed by all named parties on form and send it to Andy Sandilands, 49 Iona Ridge, Hamilton ML3 8PZ along with appropriate fees as above, It is also your responsibility to affiliate to the SYFA and send forms to Andy along with a SAE to Hampden and SYFA cheque for him to sign forms and send onto Hampden. This form must also be signed by all named parties on form.