SSG Officials Registration Form

The League is looking for officials for Small Sided Games each weekend. Please fill in the form to register your interest. If U18, you will need to provide guardian contact details.

Please complete the online form in full and accept the terms and conditions.

Click on the logo to expand the page and see the form.

SSG Officials Registration Form||Save|paylater

^

Applicant Details;

Name|tb||y;

Address|tb||y;

Date of Birth (dd/mm/yyyy)|tb||y;

Club|dd|#Allenwood Celtic#Arlington AFC#Athy Town#BBC United#Bridge United#Bush Celtic#Caragh Celtic#Castle Villa AFC#Clane United#Coill Dubh#Derry Rovers#Dunlavin AFC#Edenderry Town#Kilcock Celtic#Kilcullen AFC#Kildare Town#Kill Celtic#Kynog United#Mill Celtic#Monasterevin AFC#Moone Celtic#Naas AFC#Naas United#Newbridge FC#Newbridge Hotspurs#Newbridge United#Prosperous United#Rathangan AFC#Sallins Celtic#St Anthony's Youths#Straffan AFC#Suncroft AFC#Other#;

Non-KDUL Club|tb||y;

Qualification|tb||y;

^

Parent / Guardian Details if Under 18;

Name|tb||y;

Home Phone|tb||n;

Mobile Phone|tb||n;

Email|tb||n;

^

Consent;

I agree that details will be retained and used for football purposes by KDUL.|dd|#Yes#No|y;

22/03/2022 09:56