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ESSEX
VOLLEYBALL ASSOCIATION
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APPLICATION FOR ENTRY
APPLICATIONS MUST BE RECEIVED BY 30th May before season commences
CLUB NAME .............……………........... TEAM NAME ....…………………...................
DETAILS SHOULD RELATE TO THE TEAM NOT THE CLUB (EXCEPT THE CHAIRPERSON) SECRETARYS NAME ...................................... TREASURES NAME ......................................... ADDRESS ..................................... ADDRESS ......................................... ..................................... ......................................... ..................................... ......................................... post code ..................................... post code ..................................... email address ………………………………… email address ..............…………………… TEL NO. H ............................... W ............................... TEL NO. H ............................... W ............................... COACHES NAME ..................................... CLUB CHAIRPERSON ......................................... ADDRESS ..................................... ADDRESS ......................................... ..................................... ......................................... ..................................... ......................................... post code ..................................... post code ..................................... email address ………………………………… email address ..............…………………… TEL NO. H ............................... W ............................... TEL NO. H ............................... W ............................... REFEREE 1 ..................................... REFEREE 2 ........................................ ADDRESS ..................................... ADDRESS ........................................ ..................................... ........................................ ..................................... ........................................ post code ..................................... post code ..................................... email address ………………………………… email address ..............…………………… TEL NO. H ............................... W ............................... TEL NO. H ............................... W ............................... VENUE ADDRESS ..................................................................TRAINING NIGHT ........................ .................................................................. post code ........................... TEL. ............................... Enter Rucanor / Janet Bedford Cup ? Yes / No Enter Handicap Cup ? Yes / No PLEASE COMPLETE A FORM FOR EACH TEAM , THEN ENCLOSE A DEPOSIT OF £25 FOR EACH NEW TEAM. Rerurn this form to Essex Volleyball Assocaition ken.edwards@voleyball.co.uk |