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* 1. Name

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* 2. Email

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* 3. First, tell us about your club or organisation

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* 4. What’s your relationship to this club or organisation?

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* 5. If you are a Football Club are you FA affiliated?

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* 6. If you are a Football Club are you FA Accredited?

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* 7. What formats of football are you involved in – e.g. Girls 7 v 7, Adult 11 a side, Recreational 5 a side, Kick about, coached sessions, PE or Games Lessons, Holiday Camps ?

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* 8. What size playing pitch would you prefer/require?
(select any that apply)

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* 9. Do have an interest in playing at Brockwell or Ruskin Park or both?
(Select any that apply)

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* 10. What use would you wish to make use of the pitch?
(select any that apply) 

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* 11. How many players/participants would you estimate would be involved in the activity detailed above?

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* 12. Ideally what time of the week would you wish to make use of the pitch?
(Select any that apply)

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* 13. What months in the year would you want to use the proposed pitched?
(Select any that apply)

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* 14. If you were able to gain training or playing time on these new facilities would it be an improvement on your existing arrangements?

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* 15. If you were able to gain training or playing time on these new facilities would it allow your club or organisation to increase membership or offer opportunities to new users? Please be specific– e.g ‘We would introduce a second u/10s team, u/11’s Girls Team’, Disability Football Coaching session, Recreational 5 a side Games etc, Wild Cats Session, sessions with disadvantaged people from the local community

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* 16. Would your club or organisation be prepared to identify a representative to contribute to a User’s group to meet a couple of times each season to oversee the use and management of the facility

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* 17. Are your club or organisation able to pay a hire fee to use the pitch? (Fee would be benchmarked against other similar public facilities in Lambeth and neighbouring Boroughs)

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* 18. Any other comments or observations you’d like to make?

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