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REGISTRATION

Online Affiliation

Notes on Completion

  • Online Affiliation form must be submitted and payment received by 30th June for Senior Shield and Steel & Sons Cup entries, or 15th August for Junior Shield entry.
  • A separate form must be submitted for each team.
  • Payment to include a £25 affiliation fee plus competition entry fee if applicable.
  • Once submitted the County Antrim FA Secretary must be notified in writing of any changes.
  • Affiliation is subject to approval of Council.
Team Details
Team Name: Name of Ground :
League : Address of Ground :
Colours : Town :
Shirt : Postcode :
Shorts : Ground Telephone (if applicable):
Socks :
Is ground Private & Enclosed ?
Secretary Details
Forename : Address :
Surname : Town :
Email : Postcode :
Confirm Email :
Preferred Tel :
Alternative Tel :
Representative's Details
Forename : Address :
Surname : Town :
Postcode :
Competition Details
Competition : Season :
Completed By :
Please select preferred method of payment:

SPONSORS

County Antrim FA in Association with

Paddy Power

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County Antrim and District Football Association
County Antrim and District Football Association
County Antrim and District Football Association