Overseas Tour Permit Overseas Tour Form Step 1 of 2 50% This form must be completed by Football NSW member clubs and Associations only and is required for any teams that are travelling outside of Australia. The Overseas Tour form must be completed and submitted to FNSW a minimum of 8 weeks prior to travel. Appropriate Inoculations pertaining to the country being toured must be administered. Appropriate Visas must be obtained. Overseas travel must be sanctioned by FNSW for any applicable FNSW insurances to apply. Insurance InformationDoes the FNSW Injury insurance cover me while participating overseas? The sports Personal Accident cover and applicable liability policies of Football NSW only cover players, coaches and officials who are registered with FNSW and have been approved by FNSW to participate overseas through the FNSW Overseas Tour Permit Application process. (NOTE: Liability cover is excluded in USA and Canada.) Do I need separate Travel Insurance? Although the sports Personal Accident insurance provides limited cover for players overseas, it is recommended that additional Travel Insurance be effected (organised and purchased separately) by all players, coaches and officials to compliment the cover provided. Travel Insurance policies generally provide high limits of medical expense coverage (the Football NSW policy limits medical expenses to $5,000 per injury and does not include coverage for illness) as well as other covers such as baggage, money, loss of deposits, cancellation of travel, emergency assistance and repatriation, etc. If effecting travel insurance separately it is important that any travel insurance policy that you purchase does not exclude injuries arising from playing Football. Generally, a Travel Insurance policy can be arranged with an insurance company which compliments the existing Sports Injury coverage and does not exclude injuries resulting from Football. This information is provided as general information only and is subject to all relevant Policy Terms and Conditions. Further Information: FNSW Personal Accident Insurance enquiries – contact Gow-Gates on phone 02 8267 9999 Website www.gowgatessport.com.au/football/nsw Club/Team InformationName of touring Club Applying for Approval (FFA)*Does your club participate in an Association run Competition or a Football NSW run competition?*AssociationFootball NSWMember Association of Applicant ClubFootball NSW Competitions (i.e. NPL)Albury Wodonga Football AssociationBankstown District Amateur FootballBathurst FootballBlacktown District SFACanterbury District SFACentral Coast FootballDubbo & District Football AssociationEastern Suburbs Football AssociationEurobodalla Football AssociationFar South CoastFootball South CoastFootball Wagga WaggaGranville & District SFAGriffith District AFAHighlands Soccer AssociationHills Football IncLachlan Amateur Soccer AssociationLithgow District FootballMacarthur Football AssociationManly Warringah FANepean Football AssociationNorthern Suburbs FANorth West Sydney FootballOrange & District FAShoalhaven District FASouth West Slopes SASouthern Districts SFASouthern Tablelands FASt George Football AssociationSutherland Shire FAWestern Plains Amateur SABranchMetropolitan AssociationFootball NSW Competitions (i.e. NPL)Football RiverinaSouthern NSW FootballWestern NSW FootballType of Team*Club RepresentativesAssociation RepresentativesBranch RepresentativesAge Groups Travelling*Total Number of Players Travelling*List of All Players Travelling Including Their FFA Number Must Be Supplied To FNSW*Tour InformationHead of Delegations (Tour Manager) Name* First Last Head of Delegations (Tour Manager) Phone Number*Head of Delegations (Tour Manager) Email Address* This Form Was Completed By (Persons Name)* First Last Will You Be Participating In a Tour or a Competition*TourCompetitionName of Tournament/Competition (FFA) Travel & Destination InformationTouring To: (e.g. - London, England)*Arrival Date (FFA)* Date Format: DD slash MM slash YYYY Departure Date (FFA)* Date Format: DD slash MM slash YYYY Official Itinerary - must be attached and include the purpose of the tour, match dates, match venues, accommodation etc.*Host Organisation (Member Association eg. English FA, FFA etc)*Address of Venue* Street Address Address Line 2 City State / Province / Region ZIP / Postal Code AfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBonaire, Sint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarussalamBulgariaBurkina FasoBurundiCambodiaCameroonCanadaCape VerdeCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos IslandsColombiaComorosCongo, Democratic Republic of theCongo, Republic of theCook IslandsCosta RicaCroatiaCubaCuraçaoCyprusCzech RepublicCôte d'IvoireDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatini (Swaziland)EthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard and McDonald IslandsHoly SeeHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacauMacedoniaMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth KoreaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRomaniaRussiaRwandaRéunionSaint BarthélemySaint HelenaSaint Kitts and NevisSaint LuciaSaint MartinSaint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth GeorgiaSouth KoreaSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan Mayen IslandsSwedenSwitzerlandSyriaTaiwanTajikistanTanzaniaThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkeyTurkmenistanTurks and Caicos IslandsTuvaluUS Minor Outlying IslandsUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVenezuelaVietnamVirgin Islands, BritishVirgin Islands, U.S.Wallis and FutunaWestern SaharaYemenZambiaZimbabweÅland Islands Country Event Run By (Club/Organisation Contact)* First Last Email* Phone*Event Manager of Host organisation* First Last Email* Phone*If More Than One Destination Please Advise Where the Second Destination Is?Arrival Date at Second Destination (If Applicable) Date Format: MM slash DD slash YYYY Departure Date at Second Destination (If Applicable) Date Format: MM slash DD slash YYYY Contact at Destination First Last Email PhoneContact at Second Destination First Last Email PhoneType of Accommodation for Players*Further Supporting Documents Required - requests will not be actioned unless all supporting documents are supplied.Travel Insurance Certificates - Certificates is to be uploaded and must be for Accident, Sickness and Injury*If team are minors and are travelling during the school term please attach approval letters from each child's school principalInvitations from any clubs or countries for matches*Football NSW Child Protection Requirements All officials over the age of 18 years travelling with a team of players who are aged under 18 years must hold a current working with children check number (WWC number) and those numbers must have been verified by the club prior to the team departing. For WWC Check information and how to apply for a WWC Number, please follow this link: www.kidsguardian.nsw.gov.au/child-safe-organisations/working-with-children-check Players in the team are aged U18 Years*YesNoWWC Details (Individual 1)Name (Individual 1)* First Last WWC Details (Individual 2)Name (Individual 2) First Last WWC Details (Individual 3)Name (Individual 3) First Last WWC Details (Individual 4)Name (Individual 4) First Last WWC Details (Individual 5)Name (Individual 5) First Last If Further Individuals Required, Please List BelowAcknowlegementI, First Last In My Capacity As*Insert TitleOf*Insert Clubs Legal Entity Name1. I am a person who is authorised to submit this Application Form on behalf of the Applicant; 2. The Applicant agrees to comply with the requirements and obligations set out in this Application Form 3. On behalf of the Applicant, I have completed this Application Form to the best of my knowledge and ability and the contents of my submission in this Application Form are true and correct.I acknowledge and agree to the above:*YesPhoneEmail Website Δ