Overage Goalkeeper Exemption Application
NNSWF Premier Competitions
Authorised Club Executive or Technical Director
*
First Name
Last Name
Email
*
example@example.com
Please select Club Name
*
Please Select
Adamstown Rosebud FC
Adamstown Rosebud JFC
Belmont Swansea United FC
Broadmeadow Magic FC
Central Coast United FC
Cessnock City FC
Charlestown Azzurri FC
Cooks Hill United FC
Edgeworth FC
Kahibah FC
Lake Macquarie City FC
Lambton Jaffas FC
Maitland FC
Mid Coast FC
New Lambton FC
Newcastle Olympic FC
North Coast Football
Northern Inland Academy of Sport
Singleton Strikers FC
South Cardiff FC
Thornton Redbacks FC
Toronto Awaba FC
Valentine FC
Wallsend FC
Warners Bay FC
West Wallsend SFC
Weston Workers FC
Please select Competition
*
Please Select
Premier Youth League
Please select Age Group
*
Please Select
13 Years
14 Years
15 Years
16 Years
17 Years
18 Years
Please select the period the GK is unavailable for.
*
-
Day
-
Month
Year
Start Date
Please select the period the GK is unavailable for.
*
-
Day
-
Month
Year
End Date
Please detail why an overage Goalkeeper is required & why an age eligible Goalkeeper is not available to participate.
*
Overage GK Name
*
First Name
Last Name
Unavailable GK Name
*
First Name
Last Name
Please upload & medical or similar documents (if available or applicable)
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