Organisation Name: Contact Name:
Address: Contact Email:
Contact Telephone Number:
Type of Organisation:
School Youth Organisations Football Club Individual
Local AuthorityHousing AssociationOther (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