THREE SHIRES PETANQUE LEAGUE CLUB & TEAM MEMBERSHIP REGISTRATION FORM

CLUB VENUE:

TEL#:

Full Name

Official Position

EPA Reg Y/N

Phone# & all available e-mail addresses please.

	Chairman
	Captain
	Secretary
	Treasurer
	Contact

The Club and three elected officers must be registered with the English Pétanque Association.
This is applicable to clubs as a whole and not to individual teams for clubs with multiple teams.
However the individual teams must fill in this form for Three Shires League Registration.