Double H Management Limited

LYNN AVON UNITED LITTLE LEAGUE, JUNIOR & YOUTH REGISTRATION 2012

Fees 2011
Little League $53 ($73)
Grade 7 - 10 $83 ($103)
Grade 11 - 15 $123 ($143)
Grade 17 $138 ($158)
Fees 2012 paid on or before April 5th 2012 , after this date the figure in brackets apply

Shorts $30
Socks $18
Football $25 Sizes 3,4,5

Please complete the form to register

Name:

Surname:

DOB:

2011 team/grade:

2012 Grade:

Parent Name:

Address:

Phone Number:

Occupation:

Email Address:

Mobile Number:

Shorts:

Qty $30ea

Socks:

Qty $18 Pair

Ball:

Qty $25ea

Are you able to assist in the following areas?

Team Coaching or Management
	Are you interested in coaching a team?
	Are you interested in managing a team?
Referees
	Are you interested in becoming a referee
Other Volunteer Assistance
	Fund Raising
	Sponsorship
	Other areas as required
If you are interested in the clubs sponsorship opportunities, please note contact details below
Full Name:
Mobile Number:

I the undersigned agree to Lynn Avon United AFC passing my details to Auckland Football Federation as the clubs governing body to receive messages pertaining to all football matters.

Pay via Internet 03-0109-0071881-00 Use players name as reference

Or post payment to Lynn Avon United AFC Registrations, P O Box 19 299 Avondale

Confirmation of your enrolment including amount to pay will be sent via email

Enquiries to lyn@doublehmanagement.co.nz Phone Lyn 027 466 3551 or Shelley 027 4834 284