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Organisation Name:
Contact Name:
Address:
Contact Email:
Contact Telephone Number:
Type of Organisation:
School
Youth Organisations
Football Club
Individual
Local Authority
Housing Association
Other (please specify)
Type of Session Required:
After School Club
Evening Session
Breakfast Club
Lunchtime Club
Evening League
Saturday Morning Club
Other (please specify)
Number of players involved:
1-10
11-20
21-30
31-40
40+ (please specify)
Age Groups:
5-6
7-8
9-10
11-12
13-14
15-16
17+
Facility:
Indoor
Outdoor
Grass Field
Astroturf
Hard court
Goals
Toilets
Other Information about the group: (Behavior, Disability, Mixed Ability etc)
RSL Football Inclusion Project