To register for a Pitch Improvement visit please complete the following survey, this will provide the County FA and the Regional Pitch Advisor with relevant information to before visiting the site.

The more information provided will assist with the visit to your site.

Each visit will cost a club £100 this includes a visit from the Regional Pitch Advisor and a report upon completion.

All questions highlighted with a * must be answered.

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* 1. Club Name

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* 2. Name of Club Secretary

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* 3. Secretary Email

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* 4. Secretary Contact Number

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* 5. Name of Groundsman

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* 6. Groundsman Email

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* 7. Groundsman Contact Number

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* 8. Ground Address (including Post Code)

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