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* Team Name (Can be changed):

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* Manager's Details:

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* Secondary Team Contact:

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* I can confirm that myself and all my players are the correct age to participate in this league:

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* Signed (Full Name):

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* Where Did You Hear About The League?

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* If you were referred to the league by another team, please enter their team name here:

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* I give permission for pictures and video footage to be taken of my team for future Norfolk FA/ FDC publicity and promotions:

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* T's & C's

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