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REGISTRATION

Online Application

Notes on Completion

  • Online Application 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 and last day of February for Women’s Challenge Cup.
  • 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

Toals
County Antrim and District Football Association
County Antrim and District Football Association
County Antrim & District Football Association
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About Us

Secretary:
Adam Simpson
5 Hillview Avenue
Carrickfergus
Co. Antrim
BT38 8YP
Mob: 07523332775
Email: secretary@countyantrimfa.org

Disciplinary Secretary:
Bernard Thompson
8 Springfield Meadows,
Belfast,
BT13 3QS


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SPONSORS

County Antrim FA in Association with

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