Active Assured Accreditation Registration

Full Name of Club*
Name of President or Chair Person*
Name of Secretary*
Postal Address*
Email address*
Contact telephone number*
Where does your club train? (if multiple locations please select West Lothian Wide)*
Please tick yes or no to indicate if you want us to add your details to the Community Sport Clubs Database. This is used for us to communicate directly with clubs about various opportunities that may be available throughout the year.*