Championship Clearance Form

Championship Clearance Form

Appendix 1
The player is cleared for the association listed below in the 2025 Victorian Country Volleyball Championships.

This clearance form confirms the player listed below has played at least six matches in their primary local competition of this association during the period 1 January 2025 - 23 May 2025
Player Name*

First NameLast Name
Primary (Home) Association*
The player has participated in 6 matches in their primary association competition (during the period 1 January 2025 - 23 May 2025)*

YesNo
Association cleared to play for at the 2025 Country Championships*
Division player participating in at the 2025 Country Championships
Name of person submitting this form*
Position held in Association*
Please note that this form may only be submitted by an authorised person of the home association that is approving the clearance of the player
Signature

Clear
Should be Empty: