Team Name:

Manager/Organiser Name:

Address:

Telephone Number:

E-mail:

Player 1:

Player 2:

Player 3:

Player 4:

Player 5:

Player 6:

Player 7:

Player 8:

I agree to abide by the competition rules and will ensure prompt attendance and strict adherence to the laws of the game.

Signed:

On behalf of: