2015 MWFA APPLICATION TO REGISTER
COMPLETE THIS FORM IF YOU ARE 12 YEARS OF AGE OR OVER (OR PLAYING U12 OR ABOVE)AND:
A) YOU DID NOT PLAY FOOTBALL (SOCCER) FOR THE REGISTERING CLUB OR ANOTHER MWFA AFFILIATED
CLUB IN 2014.
B) YOU HAVE NEVER PLAYED FOOTBALL (SOCCER) BEFORE.
PLEASE ANSWER ALL THE QUESTIONS, SIGN THE FORM AND RETURN IT TO YOUR CLUB.
Player’s FFA #
Registering Club
Player’s Name
DOB
Address
Have you registered
with any other Club this
year?
Other Club Name
………………………………………………………………………………………
Yes
No
If Yes Complete ►
*You cannot register for two different Clubs in the same season. If you are
currently registered with any other Club you must deregister from that Club and reregister with the new club before your registration can proceed.
If you answered ‘NO’ to the above question, please complete the following:
Have you ever played
MWFA Club last played for ……………………………………………………………………..
with an MWFA Club?
Yes
No
If Yes Complete ►
Have you ever played
with another Australian
Amateur Association?
Year last registered with that Club ……………Age/Division ……………………………
Yes
No
If Yes Complete ►
Have you ever played
Representative Football
in NSW?
Year last registered with that Club………………Age/Division ……………………………
Yes
Club ……………………………………………………………………………………………………………
No
If Yes Complete ►
Have you ever played
Representative Football
in another Australian
State?
Yes
No
If Yes Complete ►
Have you ever played
football in a country
other than Australia?
State………………..Association……………………………………………………………….
Club ………………………………………………………………………………………………..
Competition ……………………………………………………………...
Player Status
Professional
Amateur
Year last registered with that Club ……………..Age/Division ……………………………
State …………………………………Competition……………………………..……………..
Player Status
Professional
Amateur
Club ……………………………………………………………………………………………..…
Year last registered with that Club ……………Age/Division……………………………..
Country……………………..National Association ………………………………………….
League………………………………..Club…………………………………………………….
Year last registered with that Club ………………Age/Grade/Division………………….
Yes
No
If Yes Complete ►
If you are 12 years of age or over and the last football club that you played for was
overseas you must apply for an FFA International Transfer Certificate. The
appropriate forms must be submitted to the MWFA by the registering club.
I the undersigned, declare that the above information is true and correct in every detail and at the date of requesting
registration all obligations to my previous club have been fulfilled. I am not currently under Suspension from any Club,
Association or Representative Federation.
Player/Parent or Guardian Signature …………………………………………Witness signature …………………………………
Date………………………………………………………….Witness print name ………………………………………………....