Football Pitch Application

    This form is to be used to apply for a football pitch for the coming season or for casual bookings. If you are making a casual booking, please ring the Parks Development Team on 01384 815675 to confirm pitch availability.

    An up to date list of all pitch locations, fees and full terms and conditions can be found on the web page - Football pitches

    Ensure you have read all the terms and conditions before proceeding with this form.

    You will need to provide the following information so that we can deal with your application:

    1.  Booking type:
      • Seasonal.  Pay in 2 instalments (October and mid January).
      • Seasonal.  Pay in 8 instalments (September to April).
      • Casual.  Payment must be made in full prior to the match.
    2.  ​If seasonal booking.  Do you wish to pay by Direct Debit?  Yes / No
    3. ​ Name of league:
      • Dudley & Cradley Heath Football League
      • Kidderminister & District Football League
      • Stourbridge Youth League
      • Other league - please specify
    4.  Name of team.
    5.  Type of team:
      • Adult
      • Junior
    6.  Pitch location:
      • Abbey Street Recreation Ground
      • Amblecote Recreation
      • Buffery Park
      • Burton Road Playing Fields
      • Clayton Park
      • Cot Lane
      • Donkey Pool Playing Fields (QE II Field)
      • Dudley Wood Playing Field
      • Enville Road
      • Grange Park
      • Greenfields/Kingswinford Community Centre
      • Harrison Road
      • Hawne Recreation Ground
      • Homer Hill Park
      • Howley Grange Recreation Ground
      • Huntingtree Park
      • Hurst Green Park
      • Hurst Hill Recreation Ground (KG V Field)
      • Junction Road Playing Fields
      • Kingswinford Park (KG VI Field)
      • Kinver Street
      • Lea Vale Playing Fields
      • Lister Road
      • Marle Hole
      • Mere Recreation Ground
      • Milking Bank
      • Netherton Park
      • Overfield Road Playing Fields, Russells Hall (QE II Field)
      • Pheasant Street
      • Primrose Hill
      • Quarry Bank Park
      • Silver Jubilee Park, Coseley
      • Sledmere Playing Fields (QE II Field)
      • South Road Playing Fields
      • St Pauls Drive, Nimmings Road
      • Stanley Road Playing Fields
      • Stevens Park, Wollescote
      • Tenscore Recreation Ground
      • Vale Street Recreation Ground
      • Withymoor Playing Fields
      • Wollaston Recreation Ground
      • Wordsley Park (KGV Field)
    7.  Type of pitch:
      • Full size
      • Mini soccer 5v5
      • Mini soccer 7v7
      • 9v9 (junior football)
    8.  Do you require changing rooms & showers? (Excludes mini soccer).  Yes / No
    9.  Day & time of matches (seasonal bookings):
      • Saturday Morning
      • Saturday Afternoon
      • Sunday Morning
      • Sunday Afternoon
    10.  Date of match (casual booking).
    11.  Confirm that you have read and agree to all the terms and conditions & agree to pay all required fees.
    12.  Contact telephone number.

    Please provide this information in the text box below.

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