Championship Clearance Form

Declaration of Division One Eligibility

Appendix 2
This form must be completed by each Team Captain of the participating Division One teams.
Captain's Name*

First NameLast Name
Team*
Association representing*
I declare the players on the team list have participated in 6 matches in their association competition. (during the period 1 January 2025 - 23 May 2025)*

YesNo
I declare any invited player on the team list have participated in 6 matches in their primary location association competition. (during the period 1 January 2025 - 23 May 2025)*

YesNo
Name*
Association*
I understand that should any player be found not to meet these qualifications, all matches in which that player participated will result in a forfeit.
Signature

Clear
Should be Empty:

Declaration of Division One Eligibility