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FAI SCHOOLS, DUBLIN PRIMARY

Secretary: Tom Bolger,

Tel. /Fax: 01-4736049
Mobile: 087-9582484
Email: info@faischoolsdublin.com
Website: www.faischoolsdublin.com

PRIMARY SCHOOLS' ENTRY FORM 2010
Sections Marked with an asterisk must be completed
Name of school:*
Address:*
School telephone:*
School fax:
Primary email for correspondence:*

Name(s) of team manager(s):

(Please make clear which manager is in charge of which team if applicable).

Name:* Phone:* Mobile:
Email:* In charge of:
Name:* Phone:* Mobile:
Email: In charge of:

Please tick the competitions you wish to enter:*

The closing date for entry to 11-a-side competitions has passed.

Boy's League 11-a-side: Boy's Cup 11-a-side: Boy's 5-a-side:
Girl's League 11-a-side: Girl's 5-a-side:  
Does your school have 5-a-side goals?
Could you host a blitz:
Are you in a position to help with the running of competitions?

Failure to provide accurate information in the final section will lead to expulsion from all competitions.

Number of boys on roll 4th to 6th class:* Number of girls on roll 4th to 6th class:*

PLEASE CHECK THAT YOU HAVE COMPLETED THE FORM FULLY.

By submitting this form you confirm that the numbers on roll are correct. You undertake to fulfil all fixtures and accept that failure to do so will result in elimination from competition.

The closing date for entries (including appropriate fee) is March 19th 2010.

Entry fee: €40 for 5-a-side competitions. Cheques should be sent to:

Tom Bolger, St. Bernadette’s SNS, Quarryvale, Dublin 22

Cheques should be made payable to FAI Schools. Your entry is not complete until the entry fee has been received.

Name of person submitting form