2025-26 Age Exemption Form

Age Exemption Form - Futsal

Junior Futsal League and Senior Futsal League
Player Name*

First NameLast Name
Player DOB*

MonthDayYear
Date
Team Name
What League will they be participating in?*

Senior Futsal LeagueJunior Futsal League
Please pick the relevant Competition Type*

OpensGirlsMixed
Age Group*
Exemption Requested*

Players playing one (1) year below their correct age group as of 31 December 2025Players playing two (2) years above their correct age group as of 31 December 2025Player playing three (3) or more years above their correct age group as of 31 December 2025Other
Reason for Exemption
Reason For Exemption*
Are you submitting or have you already submitted any other players for an age exemption from the same team?*

YesNo
Submitted By
Your Name *

First NameLast Name
Your Email*
example@example.com
Position Within Club/Team*
Signature
Should be Empty:

Age Exemption Form - Futsal