Leyton Orient Fans' Trust Grant Application Form

Team Name*

Club Address*

Contact Person*

Contact Email*

Which league does the team play in?*

Please confirm that this team has been entered to their local FA to play football in season 2023/24*

Please indicate which fits your team:*

Team within Waltham ForestTeam within another London boroughTeam within EssexTeam in any other area

Please indicate which fits your team:*

Female only team (child/adult)Disability Youth or Open-age teamMixed Youth Team (we note that the FA determines that all teams up to the age of 18 are now mixed teams. Therefore, even if you don't currently have any female players, you would be classed as a mixed team)Adult Male team

Does your club have Charter Standard status?*

YesNo

If there are any LOFT members in your club or team set up, please state their name here.*

If there are any LOFC season card (ticket) holders in your club or team set up, please confirm here*

Please provide your social media links*

Please provide your website URL*

What do you anticipate using the grant for?*

Will you be using our grant as a shirt sponsor? If so, we will send you the logo*

YesNo

Thank you for completing this form. We will be in contact at the end of the grant application period.

GRANT APPLICATION FORM