LACON Team Registration Form – Nigerian Community Leeds

Your Name *

First

Last

Your Phone Number *

Email *

Are you the team captain/ manager? *

Team Details

Team name *

Shirt colour (if known)

Player 1 name (optional)

First

Last

Player 1 position (optional)

Player 2 name (optional)

First

Last

Player 2 position (optional)

Player 3 name (optional)

First

Last

Player 3 position (optional)

Player 4 name (optional)

First

Last

Player 4 position (optional)

Player 5 name (optional)

First

Last

Player 5 position (optional)

Player 6 name (optional)

First

Last

Player 6 position (optional)

Player 7 name (optional)

First

Last

Player 7 position (optional)

Player 8 name (optional)

First

Last

Player 8 position (optional)

Player 9 name (optional)

First

Last

Player 9 position (optional)

Player 10 name (optional)

First

Last

Player 10 position (optional)

Team Fees

We will take your entry fee when we confirm your registration.

Entry Fee

Price: £ 100.00

Total Payable on Registration

£ 0.00