• Westfield FFA Cup 2016 Registration Form

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  • Club Administration

  • Are you a PlayStation 4 NPL NSW Men's or Football NSW State League Men's Club?*
  • Venue Details

  • Is Club Venue Address the same as Club Billing Address*
  • Lights (minimum 100 Lux):*
  • Pitch Perimeter Fence:*
  • Dressing Rooms:*
  • Available 12th/13th March*
  • Available 19th/20th March:*
  • Playing Kit Colours

  • Home Kit Colours

  • Away/Alternate Kit Colours

  • I acknowledge and agree that:                                                  

    a) the information I have provided is accurate;

    b) I am authorised to submit this form on behalf of the Club; and

    c) by signing this form, the Club shall participate in the Westfield FFA Cup 2016 and shall be bound by the Westfield FFA Cup Competition Regulations as promulgated by FFA from time to time.

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