Home / Mixed JDL Trial Match Request

Mixed JDL Trial Match Request

THIS FORM MUST BE SUBMITTED TO FOOTBALL NSW FIVE (5) WORKING DAYS PRIOR TO THE MATCH DATES.

FAILURE TO SUBMIT THIS FORM IN TIME MAY RESULT IN MATCH OFFICIALS NOT BEING APPOINTED OR MATCHES NOT BEING APPROVED.

FOOTBALL NSW WILL CONFIRM VIA RETURN EMAIL REGARDING APPROVAL OF THE MATCHES.

"*" indicates required fields

Home Club:*

Home Club Name:

Away Club:*

Away Club Name:

Age Groups (select all applicable)*

U9 Blue

U9 White

U10 Blue

U10 White

U11 Blue

U11 White

U12 Blue

U12 White

Please note that Saturdays will only be approved from the beginning of January

Scheduled Match Date*
Day
Month
Year

Time (U9 Blue)*

Hours

:

Minutes

AM/PM

Time (U9 White)*

Hours

:

Minutes

AM/PM

Time (U10 Blue)*

Hours

:

Minutes

AM/PM

Time (U10 White)*

Hours

:

Minutes

AM/PM

Time (U11 Blue)*

Hours

:

Minutes

AM/PM

Time (U11 White)*

Hours

:

Minutes

AM/PM

Time (U12 Blue)*

Hours

:

Minutes

AM/PM

Time (U12 White)*

Hours

:

Minutes

AM/PM

Venue:*

Referee Fees

Matches do not have appointed Match Officials. Clubs are to appoint suitable Game Leaders.

Have you contacted the Away Club prior to submission?*

Yes

Please provide the email address of Away Club contact:

Submitted by

Name:*

Club:*

Club Name:

Position in Club:*

Email:*