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