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 (2021/22)


    Upload your club badge
    (3mb limit, formats accepted: jpg, gif or pdf)


    Preferred club contact email


    Preferred club contact phone number


    Full Time Results SMS Service
    Contact one name
    Contact two name
    Please ensure that Whole Game System has the correct telephone numbers for the above name(s).
    Do NOT enter your phone numbers here.


    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

    Upload a picture of your ground
    (3mb limit, formats accepted: jpg, gif or pdf)


    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