Sanction Request Form

This form must be completed in full a minimum of 30 days prior to the event

Name of requesting Association, Organization or Team:

Title of Event:

Location of the Event

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code

Main Contact:

First NameLast Name

E-mail

example@example.com

Phone Number

Area CodePhone Number

Not for profit association:

Description of event:

Age categories:

Genders included:

Is the event inclusive to any players within appropriate designated age levels?

Do you agree to abide by FNB's Safety Policy?

Do you agree to abide by FNB's Screening policy and Safe Sport policies?

Do you require insurance?

If no, please provide a copy of your insurance.

Describe how your event aligns with the Long Term Athlete Development Model (LTAD)

Date(s) and Time(s) of Event:

Please provide a list of coaches who will be participating along with their NCCP number. All coaches must have a minimum of Safe Contact and Safe Sport.

Rows	Name	NCCP Number	Team/Club
Coach #1
Coach #2
Coach #3
Coach #4
Coach #5
Coach #6
Coach #7
Coach #8
Coach #9
Coach #10
Coach #11
Coach #12
Coach #13
Coach #14
Coach #15

I acknowledge that I have read and understood the FNB sanctioning guidelines. I hereby agree to and understand the guidelines as previously stated in the FNB Sanctioning Policy.

Once submitted FNB will be in touch if they require any additional information.