FORFEIT NOTICE

I wish to submit the following notice of forfeit

Club Submitting Notice *

Name of Person Submitting Notice *

Contact Number *

Area Code Phone Number

E-mail *

I undertand that forfeits attract a penalty of $100 for competition teams (U12 and above) and $25 for non competition teams in accordance with PLayer ID & Team Sheet Regulations 2.4.3.

Referees, if appointed to the match, are also entitiled to claim payment unless reassigned to another fixture.

Forfeiting teams are responsible for 100% of all penalty.

Home Club *

Away Club *

Age Group *

Division *

Team Name if Non Comp

Date of Fixture *

Month Day Year

Kick Off Time *

: Hour Minutes AM/PM Option

Venue *

Reason for Forfeit *

0/100

Has the Opposing Club been Notified *

Yes No

In accordance with the Competition Secretaries Guidelines, clubs are required to phone opposing clubs to inform them of their intention to forfeit.