PitchPower Visit Request Form

PitchPower Visit Request Form

Programme Process: - Derbyshire we are offering Support Pitch Advisors to carry out PitchPower assessments for £100 to help us achieve our ambition to transform grass pitches right across Derbyshire.

1. Clubs complete and submit an Expression of Interest Form if they wish to join and commit to the Derbyshire County FA Grass Pitch programme.

2. Set up your own PitchPower account - Complete from the comfort of your own home

Using your mobile, sign up here
Find your organisation from the dropdown list
Locate the ground(s) you maintain
Add all the pitches you maintain at the ground(s)

3. To get ahead, have the following to hand: -

Details of the maintenance equipment you currently use
Your annual budget for maintenance/renovation
List of standard maintenance activities you carry out
Info on training courses you've completed
Pitch cancellations/usage info

Once you've signed up, you can add the shortcut to your mobile phone home screen from the 'settings' section. This will give you access to your PitchPower account at the touch of a button.

4. Derbyshire FA will coordinate the time and date of the PitchPower assessment in conjunction with the selected club.

5. Derbyshire FA will notify the Pitch Advisor of visits and all relevant details.

6. PitchPower Inspection – Carried out by the Support Pitch Advisor.

7. Submit your completed PitchPower assessment: -

Submit your completed inspection before the window deadline
The Grounds Management Association (GMA) will review the information and assess the quality of your pitches
You will receive an assessment report within 21 days
This will provide practical recommendations for how you can improve the quality of your grass pitches. For example, applying for funding or taking a training course.

8. Feedback sought from club following agreed milestones and timescales, based on the recommendations provided by the Pitch Advisor.

9. Should the maintenance recommendations not result in an improved pitch or surface, there may be some further improvement work required on the site and the club can discuss funding options with the Derbyshire FA Football Development Manager.

10. The Football Club will receive reminders to carry out their next PitchPower assessment. For further information about PitchPower please click on the link below: - https://footballfoundation.org.uk/pitchpower-faqs

Organisation / Club*

Site Address*

Site Postcode*

Main Contact Name*

Main contact job title / responsibility:*

Best Contact Number*

Email Address*

Please complete the following section about your site

Groundsman Name

Qualified

Select

GMA Member

Select

Groundsman Best Contact Number

Groundsman Email Address

Number of groundstaff

Please tell us how many people look after the site

Volunteer /Professional

Select

Maintenance budget per season (£):*

Please tell us how much budget is allocated per season

Renovation Budget

Please tell us how much budget is allocated for end of season renovations.

In House

Select

Contractor

Select

Local Authority

Select

Site Owner*

Please tell us whom owns the site

Site Size (Ha)

Please explain the size of your site

Security of tenure*

do you have security of tenure for the site?

Select

Length of Lease*

Please tell us the length of time you have on the lease remaining

Lease cost per annum if applicable*

Do you have a service level agreement?*

Select

Please answer if you have leasehold

If you have a leasehold in place what is provided in cost of rent/hire and what are the club responsible for?

Please complete the following football details

National League Step Level*

Select

England Football Accreditation Level*

Select

Number of Mini Soccer Teams*

Please tell us how many teams you have affiliated in this category of football

Select

Number of Youth Male Teams*

Please tell us how many teams you have affiliated in this category of football

Select

Number of Youth Female Teams*

Please tell us how many teams you have affiliated in this category of football

Select

Number of Adult Male Teams*

Please tell us how many teams you have affiliated in this category of football

Select

Number of Adult Female Teams*

Please tell us how many teams you have affiliated in this category of football

Select

Is site shared with other sports*

Please tell us if you site is shared with other sports

Select

Please tell us about the pitches on your site

Pitch Size (1)

Please tell us about each pitch size you have on your site

Select

Number of pitches at this size (1)

Please tell us about the total number of pitches at this size

Select

Initial Comments about this pitch type (1)

Choose a statement from below which best describes this pitch type

Select

Pitch Size (2)

Please tell us about each pitch size you have on your site

Select

Number of pitches at this size (2)

Please tell us about the total number of pitches at this size

Select

Initial Comments about this pitch type (2)

Choose a statement from below which best describes this pitch type

Select

Pitch Size (3)

Please tell us about each pitch size you have on your site

Select

Number of pitches at this size (3)

Please tell us about the total number of pitches at this size

Select

Initial Comments about this pitch type (3)

Choose a statement from below which best describes this pitch type

Select

Pitch Size (4)

Please tell us about each pitch size you have on your site

Select

Number of pitches at this size (4)

Please tell us about the total number of pitches at this size

Select

Initial Comments about this pitch type (4)

Choose a statement from below which best describes this pitch type

Select

Pitch Comments*

Please provide an overview of the current issues with the pitch/es you a requesting a visit for