Champion Soccer application form

Champion Soccer application form
League you would like to play in?*
Please select which league you would like to join?
Team Name*
Team Manager
Full Name*

First NameLast Name
Manager Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Date of birth*

MonthDayYear
Mobile Number*
E-mail*
Assistant Manager
Full Name*

First NameLast Name
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Assistant Mobile*
E-mail*
How would you rate your team?*
Where did you hear about the league? (Facebook, Flyer, Venue, Google etc)*
Additional Information? e.g Any dates unavailable
I accept full responsibility on behalf of my team to fulfil and pay for all fixtures for the season. I accept that once the fixtures have been done I cannot withdraw until a replacement team has been found. I agree to Champion Soccer's terms and conditions, and agree to abide by the rules of the competition. I am aged 18 or over.
Champion Soccer Sports & Event Management, Unit 4, Axis Court, Nepshaw Lane South, Gildersome, Leeds, LS27 7UY - Champion Soccer Limited. Registered in UK No. 4631382. VAT Registration No. 789515865
Should be Empty:

Team Manager