UCD AFC BANK OF IRELAND SUPERLEAGUE 2013/2014
APPLICATION / REGISTRATION FORM
PLEASE TYPE APPLICATION FORM
Name of Team: ______________________________________________________________________________________________________
Name & Address of Captain: ___________________________________________________________________________________________
_____________________________________________________________________________________________________________________
Captain’s e-mail address: ______________________________________________________________________________________________
Please give details of Dublin address (if different): _________________________________________________________________________
Phone No:
Home:
Mobile:
THIS FORM MUST BE COMPLETED IN FULL
Name
1.
2.
3.
4.
5.
6.
7.
8.
9.
10.
11.
12.
Signature - All players must
sign the form
Faculty
Phone
Number
E mail Address
Date of
Birth
Student Number
13.
14.
15.
16.
17.
18.
19.
20.
*It is important that the above contact details are correct as this information will be used to contact you regards Superleague notices.
Please state the colour of your team’s jerseys:
_______________
Please state, in order of preference, the Division your team wishes to enter.
Premier - Saturday - Saturday kick-off 10am or 12noon
Division 1 Saturday - Saturday kick-off 2pm or 3.45pm
Premier Sunday - Sunday kick-off 10am or 12noon
Division 1 Sunday - Sunday kick-off 2pm or 3.45pm
_______________
_______________
_______________
_______________
(Please state at least three preferences).
I confirm that the details contained on this form are true and correct and I further confirm that any inaccurate information contained in this form may lead
to the team being fined, suspended or expelled from the League.
-------------------------------------TEAM CAPTAIN (SIGNATURE)
This form together with the subscription of €55.00 per player should be returned to the Sports Office in the Sports Centre or the Soccer Club Stand during
Fresher’s week no later than 4.00 p.m. on Thursday 19th September, 2013. Each team must have at least 18 players registered.