Herefordshire Super 6s Registration Form

www.herefordshireFA.com/super6s Please note: - players must be over 16 years of age to participate - players cannot register for more than 2 teams in a given league, and the teams cannot be in the same division Please contact super6s@herefordshirefa.com with any queries.

Team Name*

Day of League*

Select

Team Kit Colour*

Team Captain First Name*

Team Captain Surname*

Team Captain Mobile Number*

Team Captain Full Home Address*

Team Captain Email Address*

Team Captain Date of Birth*

Squad Details

Please enter the details in full for all squad players.

PLEASE ENSURE YOU INPUT THE CORRECT DETAILS FOR EACH PLAYER AND DO NOT DUPLICATE EMAIL/HOME ADDRESSES

Player 1 First Name*

Player 1 Surname*

Player 1 Date of Birth*

Player 1 Full Home Address

Player 1 Email Address*

Player 2 First Name*

Player 2 Surname*

Player 2 Date of Birth*

Player 2 Full Home Address*

Player 2 Email Address*

Player 3 First Name*

Player 3 Surname*

Player 3 Date of Birth*

Player 3 Full Home Address*

Player 3 Email Address*

Player 4 First Name*

Player 4 Surname*

Player 4 Date of Birth*

Player 4 Full Home Address*

Player 4 Email Address*

Player 5 First Name*

Player 5 Surname*

Player 5 Date of Birth*

Player 5 Full Home Address*

Player 5 Email Address*

Player 6 First Name*

Player 6 Surname*

Player 6 Date of Birth*

Player 6 Full Home Address*

Player 6 Email Address*

Player 7 First Name

Player 7 Surname

Player 7 Date of Birth

Player 7 Full Home Address

Player 7 Email Address

Player 8 First Name

Player 8 Surname

Player 8 Date of Birth

Player 8 Full Home Address

Player 8 Email Address

Player 9 First Name

Player 9 Surname

Player 9 Date of Birth

Player 9 Full Home Address

Player 9 Email Address

Player 10 First Name

Player 10 Surname

Player 10 Date of Birth

Player 10 Full Home Address

Player 10 Email Address

Player 11 First Name

Player 11 Surname

Player 11 Date of Birth

Player 11 Full Home Address

Player 11 Email Address

Player 12 First Name

Player 12 Surname

Player 12 Date of Birth

Player 12 Full Home Address

Player 12 Email Address

Player 13 First Name

Player 13 Surname

Player 13 Date of Birth

Player 13 Full Home Address

Player 13 Email Address

Player 14 First Name

Player 14 Surname

Player 14 Date of Birth

Player 14 Full Home Address

Player 14 Email Address

Player 15 First Name

Player 15 Surname

Player 15 Date of Birth

Player 15 Full Home Address

Player 15 Email Address

Player 16 First Name

Player 16 Surname

Player 16 Date of Birth

Player 16 Full Home Address

Player 16 Email Address

Player 17 First Name

Player 17 Surname

Player 17 Date of Birth

Player 17 Full Home Address

Player 17 Email Address

Player 18 First Name

Player 18 Surname

Player 18 Date of Birth

Player 18 Full Home Address

Player 18 Email Address

Player 19 First Name

Player 19 Surname

Player 19 Date of Birth

Player 19 Full Home Address

Player 19 Email Address

Player 20 First Name

Player 20 Surname

Player 20 Date of Birth

Player 20 Full Home Address

Player 20 Email Address

All participants entering into sporting activities do so entirely at their own risk and the organisers, their servants or agents do not accept liability for any personal injury or loss/damage to property however caused.*

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