POTTERIES JUNIOR YOUTH LEAGUE ANNUAL SUBSCRIPTION FORM

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POTTERIES JUNIOR YOUTH LEAGUE ANNUAL SUBSCRIPTION FORM - SEASON 2021/22

Please only complete one form per club.
Closing date for all applications to be received by 30th June 2021.
You will be issued with an invoice for your application fee once we have received your completed form. Applications will only be accepted once the application fee has been received.

Name of the Person Submitting this Form *

Is your team new or an existing team? *

New

Existing

Club/Team Name *

Club Address including Postcode *

Which County FA is your club affiliated to? *

Affiliation number for the 2021-2022 Season *

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