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.
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
Ridge Meadows
Surrey
Valley
Vancouver/Richmond
Youth Age Division
Please Select
YU18
YU15
YU13
YU11
YU09
YU07
Women's Age Division
Please Select
WU18
WU15
WU13
WU11
WU09
WU07
Youth Tier
Please Select
1
2
YU11 White
YU11 Blue
YU11 Red
N/A (pre-tiering)
Women's Tier
Please Select
1
2
WU11 Blue
WU11 Red
N/A (pre-tiering)
League
*
Please Select
PCFLL
Is
permitted to play one game:
On the (Date)
*
/
Month
/
Day
Year
Date
Youth Age Division
Please Select
YU18
YU15
YU13
YU11
YU09
YU07
Women's Age Division
Please Select
WU18
WU15
WU13
WU11
WU09
WU07
Youth Tier
Please Select
1
2
U11 White
U11 Blue
U11 Red
Women's Tier
Please Select
1
2
U11 Not Tiered
U11 Blue (post-tiering)
U11 Red (post-tiering)
N/A
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
*
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)
*
YU18 Tier 1
YU18 Tier 2
YU15 Tier 1
YU15 Tier 2
YU13 Tier 1
YU13 Tier 2
YU11 Blue
YU11 Red
YU11 White
YU09
YU07
Women’s Divisions (please check BOTH Divisions involved)
*
WU18
WU15 T1
WU15 T2
WU13 T1
WU13 T2
WU11 Blue
WU11 Red
WU09
WU07
Preview PDF
Submit
Should be Empty: