Club Name*
Sporting Code
First Name*
Last Name*
Your role at sporting club
Is your club currently part of Love the Game?
What age group will your Love the Game theme round target at your club?
Address to send Love the Game merch pack (no PO Boxes) *
City *
Postcode *
E-mail *
Phone *
I confirm that my sporting club refuses to accept sporting betting sponsorship as part of its commitment to the Love the Game Not the Odds program. *