Club Claim Form

1
Which team or group are you most associated with?* This field is required.
Whole Club
Inclusive Team Member
Little Lionesses (Year R - Sept 2024)
Little Lionesses (Year 1 - Sept 2024)
Mini Boltz (Year R - Sept 2024)
Mini Boltz (Year 1 - Sept 2024)
Kicks Inclusive Session (Mondays)
Under-7 Lightning (Danielle)
Under-7 Thunder (Jon)
Under-7 Lionesses (Joe)
Under-8 Lightning (Matt)
Under-8 Thunder (Dan)
Under-8 Lionesses (Nikki)
Under-9 Tornados (Dave)
Under-9 Lionesses (Simon)
Under-9 Pumas (Chris)
Under-9 Lightning (Dave)
Under-9 Hurricanes (Gavin)
Under-9 Thunder (Joe)
Under-10 Lionesses (Stacey)
Under-10 Lightning (Ian)
Under-10 Hurricanes (Brett)
Under-11 Lightning (Dave)
Under-11 Hurricanes (Ryan)
Under-11 Thunder (Nick)
Under-11 Lionesses (Jim)
Under-11 Puma (Gavin)
Under-12 Thunder (Dave)
Under-12 Hurricanes (Paul)
Under-12 Lionesses (Allan)
Under-12 Lightning (Matt)
Under-13 Thunder (Steve W)
Under-13 Lightning (Zak)
Under-13 Lionesses (Tor)
Under-14 Hurricanes (Wayne)
Under-14 Thunder (Rob and James)
Under-15 Lightning (Lee)
Under-15 Thunder (Russell)
Under-16 Lightning (Wayne)
Under-18 Hurricanes (Mike)
Under-18 Lightning (Andy)
Under-18 Lionesses (Brian)
Kent County League Mens (Tom)
Womens First Team (Ally)
Sunday Men Team(s)
Mens First Team SCEFL (Stuart)
Sunday (Sheppey League) Men’s Team
2
Your Name* This field is required.
First Name
Last Name
3
Your E-mail* This field is required.
example@example.com
4
Let us know what you are claiming for* This field is required.If you have more than one claim use the + sign to add another set of details
5
Is your claim related to a training course?* This field is required.i.e. Introduction to Coaching or First Aid for example.
YESNO
6
FOR COURSES ONLY: Please confirm you agree to reimburse Faversham Strike Force Football Club for the cost of the training detailed within the terms set out below should the volunteer leave the club:We fully support our volunteers to complete qualifications but we do need to safeguard our financial commitment. With this in mind we ask that you agree to reimburse Faversham Strike Force Football Club for the cost of the training detailed within the terms set out below should you leave the club: Full pay back if you leave the club during the course or within 6 months of completing the course. 75% pay back if you leave the club between 6 - 12 months of completing the course. 50% pay back if you leave the club between 12 - 18 months of completing he course. 25% pay back if you leave the club between 18 – 24 months of completing the course.
Yes, I agree
No, I do not agree
7
Please upload evidence to support claim* This field is required.This could be a copy of a certificate, confirmation email or receipt for example
Drag and drop files here
Select files to upload
Max. file size: 10.6MB
Cancelof
8
Have the club paid you via bank transfer before?
YESNO
9
In order to reimburse you we need a few bank details* This field is required.
Account Number
Name on your bank account
Sort Code
Should be Empty: