Staffordshire County Senior League

Annual Registration Form

Staffordshire County Senior League
League Secretary: Christopher Jackson  

This form is to be completed and submitted prior to the AGM even if you do not have your county affiliation number.

Please note: any form submitted after the 30th June will incur a fine to your club and it will not have its details listed in the league handbook.

Annual Registration Form (ARF)

Annual Registration Form

Club information

Name of club


County affiliation number (2020/21)


Preferred club contact email


Preferred club contact phone number


Club home colours
shirts
shorts
socks

Club away/colour change colours
shirts
shorts
socks

Goalkeepers jersey
home colour
away/colour change colour

Year of club formation


County associated to


Club honours


Ground information

Address of ground

postcode


Phone number for ground / match day contact number


Does the ground have working Floodlights
yesno

is there a match day programme
yesno

Club secretary information

club secretary name

club secretary address

postcode

Club secretary Preferred contact email

club secretary Preferred phone number


Club chairman information

Chairman name

Chairman address

postcode

Chairman Preferred contact email

chairman's preferred phone number


Team manager information

Team manager name

Team manager preferred email

Team manager preferred phone number


Safeguarding officer information

safeguarding officer name

safeguarding officer preferred email

safeguarding officer preferred phone number


club website and social sites

Is there a club website

yesno

Is there a club facebook page
yesno

Is there a club twitter page
yesno

Are there any other social media
yesno

Club declarations and agreements

It is the responsibility of the Club Secretary that the following are circulated to all club officials and registered players

Agreement of League Rules, governance and Data Policy

We confirm that having been provided with a copy of the Rules and Regulations, agree on behalf of the Club, to conform to those Rules and Regulations, including the Codes of Conduct, if elected or accepted into membership. To abide by, accept and implement the decisions of the Management Committee of the League subject to the right of appeal in accordance with the League Rules.


In accordance with STAFFORDSHIRE COUNTY SENIOR LEAGUE Data Protection, Privacy Notice & Social Media Policies we give authority for the SCSL Management Committee to store and administer the information provided in this form, as required in order to fulfil its operational duties in administering and manage the League’s Competitions.


We agree that the the SCSL Management Committee can publish all the information provided in the form in the League Handbook.

YesNo


We agree that SCSL can publish the information provided in this form on the Leagues Website.

YesNo


We authorise that relevant information provided in this form can be shared with other League Officials for Operational Purposes e.g. match officials.

YesNo


We authorise that Club/Teams activities can be shared via the SCSL Social Media platforms. The SCSL Management Committee confirm that any activities shared on Social Media will conform to our Code of Conduct and Media Policy.

Facebook
YesNo
Twitter
YesNo