Field Lacrosse One Game Permit
Welcome to the PCFLL One Game Permit Form
Filling out this form will produce a completed PDF of the existing BCLA One Game Permit. Teams with call-ups are to print out the completed form and bring it to the field and leave it with the game sheet.
Once Submitted the permit will also be emailed to both Commissioners for their information. The paper copy is still required at the field.
Form Instructions:
Accepting team identifies a player they would like to call-up.
Accepting Team Official emails Releasing Team Official with form link requesting permission. Form has its own link or is available on the
PCFLL website
.
Releasing Team Official fills out the form including email address of Accepting Team Official. The PDF can be previewed before Submitting.
Note:
for all
Tier 3
permits the form will show a checkbox in the appropriate age division in the Copies to Commissioners section. The Accepting Team Official should write in “Tier 3” (or “White” for U11) to the left of the checkbox.
Accepting Team Official will receive an email with the pdf attachment.
Accepting Team Official prints off pdf and brings to field and leaves with gamesheet as per normal procedure.
Player Name
*
First Name
Last Name
Lacrosse Discipline
*
Youth Field Lacrosse
Women's Field Lacrosse
Association
*
Please Select
Adanacs
Burnaby
Chilliwack
Delta
Langley
Mission
New Westminster
North Shore
Port Coquitlam
Richmond
Ridge Meadows
Surrey
Valley
Vancouver
Youth Age Division
Please Select
U18
U15
U13
U11
U9
U7
Women's Age Division
Please Select
U19
U15
U12
U8
Youth Tier
Please Select
1
2
3
Women's Declaration
Please Select
Recreational
Competitive
League
*
Please Select
PCFLL
Is
permitted to play one game:
On the (Date)
*
/
Month
/
Day
Year
Date
Youth Age Division
Please Select
U18
U15
U13
U11
U9
U7
Women's Age Division
Please Select
U19
U15
U12
U8
Youth Tier
Please Select
1
2
3
Women's Declaration
Please Select
Recreational
Competitive
League
*
Please Select
PCFLL
Authorized Team Official Name (Releasing Team)
*
First Name
Last Name
Team Official Email (Releasing Team)
example@example.com
Authorized Team Official Signature
*
Clear
Date
*
/
Month
/
Day
Year
Date
Email contact for the receiving team (to receive an electronic copy of this approved form)
*
example@example.com
Copies to Commissioners:
Youth Divisions: (please check BOTH Divisions involved)
*
U18 Tier 1
U18 Tier 2
U15 Tier 1
U15 Tier 2
U15 Tier 3
U13 Tier 1
U13 Tier 2
U13 Tier 3
U11 Blue
U11 Red
U11 White
U9
U7
Women’s Divisions (please check BOTH Divisions involved)
*
U19
U15
U12
U8
Preview PDF
Submit
Should be Empty: