TEAM ENTRY FORM
WOMEN’S WALKING FOOTBALL
Inaugural National Tournament
July 2nd 2017: UCLan Sports Arena, Preston, Lancashire
The Dick, Kerr Ladies Cup & Centenary Dinner –
Commemorating 100 years of the
Dick, Kerr Ladies
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Teams of 6-A-Side Women (squad of up to 9 women players with flexi-substitutions)
Two age groups - Over 40's and Over 50's
Over 50's Teams must consist of over 50’s Women (with two women players under
50 permitted, but with only one under 50 on the pitch at any time)
Over 40's Teams must consist of over 40’s Women (with two women players under
40 permitted, but with only one under 40 on the pitch at any time)
National Tournament Official Rules and more information at
www.walkingfootballunited.co.uk
Entry fee £30 per team (1 team per form please)
Closing date for entries 30th April 2017.
Tournament will be held on the 2nd July 2017 between 10am and 4pm at the
University of Central Lancashire - UCLan Sports Arena, Tom Benson Way, Preston,
Lancashire PR2 1SG
To celebrate 100 years of the Dick, Kerr Ladies and to promote women’s football
There will be a pre-tournament dinner on the evening of Saturday 1st July 2017 at
Preston North End (7pm – 12:30am). Tickets are £35 per person and include a 3course meal.
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The tournament and dinner are organized by volunteers, all profits raised will go
towards the Dick, Kerr Ladies fund, raising money for a permanent memorial to these
wonderful and inspirational women. For more details contact: Gail Newsham at
[email protected].
Team Name:
Team colours:
Please state which age group
(mark with an ‘X’):
Over 40’s 
Over 50’s 
Contact name:
Contact address:
Contact phone number:
Contact email address:
Pre-tournament Dick, Kerr
Centenary Dinner, Saturday
1st July 2017 at Preston North
End Football Club.
Tickets are £35 per person and
include a 3-course meal and
drinks reception.
I would like to book ________ places at the dinner @£35 per
guest.
Total: _____________
Please state the name(s) of any guests who have any special
dietary requirements (please state the requirement):
Team Entry @£30 per team
Dinner places:
£30.00
@£35.00
Total:
Ways to pay are detailed overleaf
PAYMENT DETAILS - £30 per team
Eventbrite:
www.eventbrite.co.uk/e/dick-kerr-ladies-cup-national-womens-walking-footballtournament-tickets-28311050113
(£30 team entry fee plus an eventbrite admin fee of £2.45 if booking online at
Eventbrite)
Paypal:
[email protected]
Bank
transfer
The Live Breathe Succeed Foundation
c/o Royal Bank of Scotland
Sort code 16-16-29 Account number 10223992
(Please state your team name as the reference)
Cheques
Please make cheques payable to:
The Live Breathe Succeed Foundation
4 Hazel Close
Bamber Bridge
Preston
PR5 6PL
Please email your completed entry form and confirmation of what method of payment has
been used to Gail Newsham at [email protected]
Supported by: