Individual Sanction Form – 2021 Viking Challenge This form is for individual players seeking Football NSW sanction approval to participate in the 2020 Viking Challenge hosted by Great Lakes United Football Club. Please note that to receive approval all players must be registered for the 2020 winter football season with a Football NSW Club, complete this form and upload a letter of support from their 2020 football club. Players Full Name*Players DOB*2021 Football NSW Club*Football Association*Players FFA Number*Mobile Contact Number*Letter of Support from 2021 Football Club*Deceleration* I declare all information to be correct I declare that I am a current 2021 registered player with a Football NSW Club on the Football Federation Australia National Registration Database. I have sought and obtained the approval and support from my 2021 Football Club to participate in the 2021 Viking Challenge and am not currently suspended by my Club, Association or Football NSW. I confirm all details provided in this sanction application form are accurate and I understand that providing incorrect or misleading information will lead to my sanction application being withdrawn, therefore meaning I will not be covered by any Football NSW insurance policies. Δ