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Nepean FA Meeting/Workshop Regsitration
Please complete this form to confirm your attendance at a meeting, course, workshop or other event and to submit agenda items for Nepean FA Meetings.
11
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1
Type of Event
*
This field is required.
Meeting
Workshop/Information Session
Other
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2
Type of Event
*
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Meeting
Workshop/Information Session
Other
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3
Date Of Event
*
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-
Date
Day
Month
Year
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4
Title of Course, Workshop or Meeting
*
This field is required.
Annual General Meeting
Competition Grading
Council of Clubs
Competition Secretary's Workshop
NFA Registrar's Workshop
Play Football Training
Regional Meeting
Registrar's Dribl Training
Annual General Meeting
Annual General Meeting
Competition Grading
Council of Clubs
Competition Secretary's Workshop
NFA Registrar's Workshop
Play Football Training
Regional Meeting
Registrar's Dribl Training
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5
Title of Course or Workshop
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6
RSVP
*
This field is required.
Our Club will send the following delegate/s
Our Club will not be attending
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7
RSVP
*
This field is required.
Our Club will send the following delegate/s/3
Our Club will not be attending
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8
Name of Club
*
This field is required.
Please Select
Blaxland Football Club
Bligh Park Football Club
Blue Mountains Football Club
Colo Soccer Football Club
Cranebrook United Soccer Club
Emu Plains Football Club
Glenmore Park Football Club
Glossodia Football Club
Hazelbrook Football Club
Henry Lawson Football Club
Jamisontown Football Club
Jordan Springs Joeys FC
Lowland Wanderers Soccer Club
Mulgoa Valley Football Club
Nepean Dragons FC
Nepean Football Association
Nepean Representative FC
Penrith R.S.L. Soccer Club
Penrith Football Club
Penrith Rovers Football Club
Pitt Town Football Club
Richmond Ex-Servicemen's Soccer Club
Springwood United Football Club
St. Clair United Soccer Club
St. Marys Band Club Rangers Football Club
St. Marys Convent Soccer Club
St. Marys Football Club
Warradale District Soccer Club
Wentworth Falls Football Club
Werrington Croatia FC
Wilberforce United Soccer Club
Wollemi Football Club
No Club Affiliation
Please Select
Please Select
Blaxland Football Club
Bligh Park Football Club
Blue Mountains Football Club
Colo Soccer Football Club
Cranebrook United Soccer Club
Emu Plains Football Club
Glenmore Park Football Club
Glossodia Football Club
Hazelbrook Football Club
Henry Lawson Football Club
Jamisontown Football Club
Jordan Springs Joeys FC
Lowland Wanderers Soccer Club
Mulgoa Valley Football Club
Nepean Dragons FC
Nepean Football Association
Nepean Representative FC
Penrith R.S.L. Soccer Club
Penrith Football Club
Penrith Rovers Football Club
Pitt Town Football Club
Richmond Ex-Servicemen's Soccer Club
Springwood United Football Club
St. Clair United Soccer Club
St. Marys Band Club Rangers Football Club
St. Marys Convent Soccer Club
St. Marys Football Club
Warradale District Soccer Club
Wentworth Falls Football Club
Werrington Croatia FC
Wilberforce United Soccer Club
Wollemi Football Club
No Club Affiliation
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9
Delegate Information
*
This field is required.
Please list all delegates who will be attending. Press the +Add Row button to add additional delegates
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10
Delegate 1
First Name
Last Name
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11
Role In Club
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12
Delegate 2
First Name
Last Name
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13
Role In Club
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14
Delegate 3
First Name
Last Name
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15
Role In Club
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16
E-mail Address of Responder
*
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17
Daytime Contact Phone of Responder:
*
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18
Our club wishes to submit the following Agenda Item/s (for meetings only)
(Only applicable where agenda items are invited)
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19
Attach files here if required
(Only applicable where agenda items are invited)
Drag and drop files here
Select files to upload
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: 1.0MB
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20
Are all nominated delegates authorised to vote on behalf of your club?
Yes
No
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