PLAYER - DUAL CLUB
PERMIT APPLICATION FORM
PERSONAL DETAILS (all fields are mandatory)
Surname: ______________________________________________________ First Name: ____________________________________________
Address: ______________________________________________________________________________________________________________
Suburb and Postcode: _______________________________________________________ Date of Birth: _______________________________
Telephone: (Home) (
) ___________________________ (Work) (
) __________________________ (Mobile) ________________________
E-mail Address: _________________________________________________________________________________________________________
PLAYER PERMIT APPLICATION
I am currently registered with the _______________________ Baseball Club, in the _____________________________ Association/League.
I wish to also register with the __________________________ Baseball Club, in the _____________________________ Association/League.
My reasons for applying to be registered with two clubs are as follows;
___________________________________________________________________________________________________________________
___________________________________________________________________________________________________________________
___________________________________________________________________________________________________________________
___________________________________________________________________________________________________________________
I declare that the information I provide on this form is true and correct.
Applicant's Signature: __________________________________________________ Date: __________________________________________
TO BE COMPLETED BY PARENT OR GUARDIAN IF PLAYER IS UNDER 18 YEARS OF AGE
I, (parent1) ________________________________ , and on behalf of (parent2) ___________________________________ , being the
parents/guardians of (child) _____________________________ approve of him/her also playing baseball with the
__________________________ Baseball Club. We confirm that his/her date of birth is __________________________ .
We declare that the child of which we are parent/guardian will abide by the rules, regulations and policies of the Association and its affiliate
that exist from time to time, a copy of which can be obtained from the club Secretary for our perusal.
Parent/Guardian Signature: _____________________________________________ Date: __________________________________________
DESTINATION CLUB ACKNOWLEDGMENT
I declare that the applicant has been accepted as a member of the _______________________ Club. I declare that to my knowledge, the player
is financial to his/her current club and Association.
Secretary’s Signature:__________________________________________________ Date: __________________________________________
PERMIT DECISION
On behalf of the player’s current club, I advise that;
The Player is permitted to register with his/her new club
On behalf of the Association which affiliates the player’s current club, I
advise that;
The Player is permitted to register with his/her new club
The Player has been refused dual registration with another club
for the following reasons;
________________________________________________________
________________________________________________________
The Player has been refused dual registration with another club
for the following reasons;
________________________________________________________
________________________________________________________
Secretary’s Signature:_______________________________________
Print Name ___________________________ Date _______________
Administrator’s Signature: ___________________________________
Print Name __________________________ Date ________________
ADMINISTRATOR USE ONLY
TCO Processing this form (Print Name): __________________________________________________________________________________ Date: ____________________________
TCO Signature: ______________________________________________________________________________________________________
PLEASE NOTE: For new registrations, please insert details in the myClub system within 72 hours after the player’s second game. Any player that does not appear on myClub IS NOT
registered and must be entered into the system after the player’s second game. It is mandatory that clubs use this Form and the properly completed form sent to the Competition
Administrator as soon as possible.