Football Pitch Hire Agreement Form Submission is restrictedForm was successfully submitted. Thank you!FilterPlease ensure you have read the Conditions of Hire before completing the form.Team Name*Club Secretary (Full Name)*Address and Contact DetailsAddress 1*Address 2Town/City*Postcode*Phone number (daytime)*Email*Preferred Site Please select your first, second and third choices in case you cannot be accommodated at your first choice. We reserve the right to remove pitches from play at any time without prior notice.Preferred Site 1*Cornmeadow LanePerdiswellWarndon Park (Shap Drive)Northwick RoadKing George V (Bricksfield Park)Preferred Site 2*Cornmeadow LanePerdiswellWarndon Park (Shap Drive)Northwick RoadKing George V (Bricksfield Park)Preferred Site 3*Cornmeadow LanePerdiswellWarndon Park (Shap Drive)Northwick RoadKing George V (Bricksfield Park)Preferred Pitch Size*Mini Pitch9 x 9 PitchSenior pitchDay*SaturdaySundayKick Off Time*League Entered (if applicable)Your email address may be used for important pitch updates. It may also be used to send you invoices if your team have requested these. We also provide a weekly pitch planner showing the bookings for each week. Let us know if you wish for your email address to be used for these purposesUse my email for invoicing*YesNoUse my email for pitch updates*YesNoUse my email to send the weekly Pitch Planner*YesNoWorcester City Council works closely with the Worcester and District League and by allowing us to share your information with them we can administer bookings more efficiently. If you do not consent to us sharing this information we may need to contact you for certain queries regarding payments or bookings.Are you happy for us to share this information?*YesNoDeclaration I acknowledge that Worcester City Council will hold and process my information in accordance with Data Protection Law. For more information, please see our privacy notice.Do you acknowledge the declaration above?*I acknowledge Submit