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Player Movement Dispensation Application
Player Movement Exemption Form
Step 1 of 3
33%
Introduction
H3 - RESTRICTION OF “MOVEMENT” PLAYERS IN JUNIOR TEAMS U11 TO U16
Each team is restricted to a maximum of three movement players, with the further restriction that a maximum of two of the three movement players can come from the same team, unless special dispensation is approved.
You will need to have the names, clubs and teams of all movement players for the team you are requesting dispensation for.
Club
*
Club name
Name of Person submitting nomination
*
First
Last
Must be on the Executive
Email address of person submitting nomination form
*
Team Information
Team is playing in
*
Boys
Mixed
Girls
Age Group
*
Select the Age group you are seeking exemption for
11
12
13
14
15
16
Which U12 team?
*
Division A
Division B
Division C
Division D
Which Division?
*
Division 1
Division 2
Division 3
Division 4
Colour of Mini Roo Team
*
How many teams does the club have in this age group?
*
Registered Players Information
Information of players who are in the team and meet the criteria in rule H3.
Number of Current, New Players, Returning Player, Exemption Players
*
Current = last season that they played in FSC was for the Club
New = first season in FSC Competition
Returning = last game of football was in 2019 Exemption = players approved for exemption by FSC.
Number of Movement Players approved as per rule
*
0
1
2
e.g Where a team has placed two movement players in a team, you would indicate 2 below, or is a team has been given an exemption for four players previously, you would enter 4.
Name of Approved Movement Player and Club
*
Given Name
Surname
Previous Club
Age Group
Division/Colour
Name the players and their club from your previous answer.
Exemption Request
Exemption sought
More than three movement players
More than two movement players from the same team
Both
Player details for exemption
*
Given Name
Surname
Previous Club
Age Group
Division/Colour
Reason for Dispensation Request
Submission
*
On behalf of the Club, I submit this dispensation request for the abovementioned team
Δ