Sign Up to The Fire Shield

To play in the Fire Shield tournament you need to sign up and pay £500 per team entry.

We would also like you to promote the competition (with a link) on your company social media channels.

We kindly request you add the sign up/donation link to your website, a link to your own website will be provided on the sign-up page after sign up.

The £500 is non-refundable, all monies raised from participation and fundraising will be provided to Leeds Hospital Charity to fund the Rob Burrow MND Centre in Leeds.

Your details

Email * Company Name *

Setup your team

Full Name of Team Captain * Contact Number of Team Captain * Full Name of Head Coach*

Would you like to sign up any additional subs?

£100 for one substitution
£250 for two substitutions
£500 for the third

Full Names of All Players*

Player 1

Player 2

Player 3

Player 4

Player 5

Substitution 1

Substitution 2

Please click the link, which takes you through to the payment page.

Total: £500