Urban Xtreme Achievement Award Application for Sports Clubs
To receive Urban Xtreme Awards for your club just complete the application below
CLUB INFORMATION
Club Name *
Your answer
Type of Sport *
Postal Address *
Your answer
Club Ground Address
Your answer
Number of Junior Teams Requiring Awards (13 Years and under) *
Your answer
Number of Senior Teams Requiring Awards (14 Years and over) *
Your answer
Total number of players at club (approx) *
Your answer
Start Date of Season *
MM
/
DD
/
YYYY
Number of Weeks in Season *
Your answer
Any other information you would like to share about your club *
Include advertising & sponsorship opportunities, fundraising or other events that Urban Xtreme may be interested in supporting
Your answer
CONTACT INFORMATION
Contact Person 1 Name *
Your answer
Contact Person 1 Role *
Your answer
Contact Person 1 Phone *
Your answer
Contact Person 1 Email *
Your answer
Contact Person 1 Preferred Contact Method & Time *
Your answer
Contact Person 2 Name *
Your answer
Contact Person 2 Role
Your answer
Contact Person 2 Phone *
Your answer
Contact Person 2 Email *
Your answer
Contact Person 2 Preferred Contact Method & Time
Your answer
Submit
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