Player Registration Form

 

 

Club Name:  __________________________              Team Name:  __________________________

 

 

 

Player Name

 

 

Under 19 @ 1/9/99

 

Fee

 

J Player

 

NIVA use only

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Club Secretary Name:  ________________________________

 

Club Sec. Signature:    ________________________________

 

Return this form along with payment and player database forms for the listed players to NIVA. Players are not eligible to play for their club until 5 days after forms and payment are returned.

 

Club Registration

£40.00

Playing Member - (19+)

£8.00

1st Team Entry Fee - League

£35.00

Playing member - (under 19)

£3.00

2nd Team Entry Fee - League

£25.00

Associate Member

£5.00

3rd Team Entry Fee - League

£20.00