Broomfield FC Fun Day
Sat/Sun 24th/25th June 2017
Affiliation No. 
Entrance fee 
SL00160
£30.00 per team
£20.00 for second team per age group
Age groups as at 1st September 2016.

Note 
 U8-U10 (10 players max)
SQUAD SIZE  U11-U15/Men’s Open Comp (7 players max)
Enquiries to  Dan @ 07788268327
Email 
Samantha @ 07500932600
[email protected]
Competition Entry Form
Team Name
Contact Name
Email
Address
Postcode
Telephone
Saturday 24th June 2017
Age Group
U11 Youth
U12 Youth
U13 Youth
U14 Youth
U15 Youth
Team Name
No. of Teams
Payment due
£
£
£
£
£
No. of Teams
Payment due
£
£
£
£
£
Sunday 25th June 2017
Age Group
Mens Open
U8 Youth
U9 Youth
U10 Youth
Team Name
TOTAL PAYABLE



I enclose the sum of £ …….............being the total entry fee.
Please make all cheques payable to “Broomfield FC”.
Return form to: Dan Dunbar, 53 Daltons Fen, Basildon, SS13 1JE
Signed