Hightown Winter League runs from September - December please complete this form and request a place in the Summer Winter 2010. This is a request to play, we cannot guarantee all applications due to a limited numbers per league per day. This years league is only available to to ages 7 - 14 on Saturday & Sundays. The League fee in £20.00. All information must be completed.

Age Group: Select your age group Under 7s Under 8s Under 9s Under 10s Under 11s Under 12s Under 13s Under 14s * Please select your age group. Please select an item. as at 1st September 2010
Perferred Match Day: Select a match day Saturday Sunday * Please select a valid item. * Please select your prefered match day.

Team Name:
* Team Name required.

Kit Colours:
* Kit Colours required.

FA Affiliation No:
* If awaiting number please type AW.

Managers Name:
* Managers name required.

email address:
* Email is required.* Invalid format.

Managers Address:
* Address required.

Managers Tel:
* Telephone number required.* Invalid format.

Secretary Name:
* Club Secretary's name required.

Secretary Address:
* Address required.

Secretary Tel:
* Telephone number required.* Invalid format.

(CWO) Name:
* CWO name required.

email address:
* Email required.* Invalid format.

(CWO) Address:
* Address required.

(CWO) Tel:
*Telephone number required.* Invalid format.