registration form.

The Kids Company Cup
Rooftop Football for a great cause
Once again the Kids Company Cup will take place on the rooftop pitches at Powerleague in Crossharbour, with 8 - 12 teams lining
up to do battle for one of the most prestigious awards in football: the Kids Company Cup. Will your team beat last year’s champions
ICAP and take home this coveted prize?
We ask for a donation of £650 for the entry of a team. Please ensure you have at least 5, and a maximum of 8, players for any one
team. Up to 2 teams from any one organisation can enter.
Team places will be confirmed on receipt of your donation and are limited so we recommend booking early to avoid disappointment.
To secure your place, please email suzie.curran@kidsco.org.uk and send your donation in one of the following ways:
1. By Credit or Debit Card (no Amex)
Please call Suzie on 020 7202 2700 to make a donation over the telephone
2. By Cheque
Made out to Keeping Kids Company and posted for the attention of Suzie Curran including the reference KCC to: 1 Kenbury Street,
London, SE5 9BS
Once we’ve received your donation you will be asked for your team’s details.
Good luck!
DONATION FORM
TEAM DONATION £650
NUMBER OF TEAMS?
TEAM CAPTAIN CONTACT DETAILS (PLEASE USE BLOCK CAPITALS)
First name:
Surname:
Address:
Postcode:
Tel. home:
Mobile:
E-mail:
Team name(s):
PAYMENT DETAIL:
Payment Type (Please tick)
Credit or Debit Card (we cannot accept American Express)
Cheque
Please call me to take payment over the telephone
Credit Card Details
Card Number
Expiry Date
/
CVS Number (last three digits on the back of your card)
Card Registered Address:
Post Code
TOTAL TO DONATION £