LVSL Pre-Season Match Form

Latrobe Valley Soccer League

Out of Season Match Request Form
Name of Event
Eg. Melbourne Victory vs Melbourne City
Host Club
Club hosting the event.
Guest Club
Away club attending the event.
Date

DayMonthYear
Date
Kickoff Time (Game 1)

:HourMinutesAM/PM Option
Kickoff Time (Game 2)

:HourMinutesAM/PM Option
Kickoff Time (Game 3)

:HourMinutesAM/PM Option
Match Standards

2 x 45 min half3 x 30 min halfOther
All players FV or LVSL Registered in 2019

YesNoOther
List of players not registered with FV
Match Referees Required

YesNo
Number of Referees Req
Referees Required Info.
(ie. One for Woman's game, one for men's game)
Assistant Referees Required:

NoYes
Assistant Referees Additional Info:
Details on how many assistant referees (lines), times, etc.
2019/2020 Pre-Season Referee Fee’s:

Senior Match Referee $65.00 match fee for 90 minutes - $85.00 for 120 minutes)
Senior Match AR1 / AR2 $32.50
Reserves Match Referee: $50.00
Women’s Match Referee: $35.00
2nd Division Match Referee: $30.00
Referee Development Trainee Fee: $20.00
Junior U16’s Match Referee $22.50
U14’s Match Referee $20.00
U12’s Match Referee $17.50

or as arranged between the Competition Host Club and the Gippsland Referee’s Branch LVSL Appointments Officer for a set Competition Daily Payment per person (for Senior Match Referee’s & Graded AR1 or 2 Referee’s as required)
Other Details:

Please remind all teams participating in your pre-season competition that they must each present a team sheet for their respective teams to the Officiating Referee 20 minutes prior to the event first match kick-off timing,

Please also remind all coaches, players, club officials and spectators that they are always subject to current LVSL Rules of Competition, LVSL GDT Disciplinary By-Laws and Codes of Conduct at all times.
Contact Name

First NameLast Name
Telephone

Area CodePhone Number
E-mail*
Should be Empty:

Latrobe Valley Soccer League