1. 2. 3. 4. All players are required to fill out and sign the registration and transfer form in BLOCK LETTERS. If the player is Under 18 years of age, a birth certificate or student photo identification number is required. Parents must be provided with a copy of the EDFL Codes of Conduct and then complete the Parents Section. The club is required to keep this signed paper form and a copy of the birth certificate, passport or a Student Photo I.D. card (if applicable). This form must be produced within 24 hours if requested by the League. Application to have a permit issued to play with ___________________________Football Club in the Essendon District Football League. SURNAME: DOB: // GENDER: Male Female BIRTH CERT/PASSPORT NO: ADDRESS: No: STREET: SUBURB: STATE: POSTCODE: CONTACTS: Home Phone: -- Work Phone: --Mobile: -- Email: Use Parents email for Juniors AUSKICK CENTRE ATTENDED: AFL CLUB SUPPORTED: SECTION 1 FIRST NAME(S): Has player played competition football before? YES NO If Yes proceed to Section 2. If No, then sign this form and Register player. PLAYER’S AUTHORISATION SECTION SECTION 2 – PLAYER’S CAREER HISTORY Signature of Player: _______________________________________________ DETAILS ON THE LAST TWO (2) CLUBS YOU PLAYED WITH (The Last Club Played with is the club from whom the transfer is being sought .) Last Club Played With: ______________________________ League / Association: ______________________________ Registered from (year): ______________________________ Registered to (year): ______________________________ 2nd Last Club Played With: ______________________________ League / Association: ______________________________ Registered from (year): ______________________________ Registered to (year): ______________________________ No player will be permitted to play in an official match until he/she has received notification of Registration from the club to which he/she is seeking a Transfer/Registration following League approval. CLUB OFFICIAL’S VALIDATION SECTION Date: ______/____/_______ I have read and agree to the Terms and Conditions I agree to abide by the Rules and By-Laws of the EDFL. I will observe and obey these Rules and By-Laws and be bound by all rulings made by or with the authority of the League that relate or apply to me. I declare that the information supplied by me is true and correct. I authorise the EDFL to advise my former League(s) of this application, via electronic summary if required, and to obtain details of my tribunal history if the League so chooses. A copy of the EDFL Rules and By-Laws can be obtained from the League office (during normal business hours) or taken from our web site. ASSUMPTION OF RISK. By signing this form, the player acknowledges and agrees that football is a body contact sport in which physical injury may occur from time to time, that he/she is none the less willing to play Australian Football for the Club, and he/she takes upon themselves the risk of injury (both physical and legal) arising out of or in training for and participating in the game of Australian Football in the EDFL. PRIVACY STATEMENT: The primary purpose of the EDFL is to manage and control football competitions involving affiliated Clubs and the EDFL requires the information in this application form for this primary purpose and other purposes set out in the EDFL Statement of Purposes (www.essendondfl.com.au) and will use and retain this information including disclosing this information to governing bodies of other football competitions for those purposes. The EDFL will take all reasonable steps to protect your personal information from misuse or unauthorised disclosure. PARENT’S VALIDATION SECTION (MUST be completed if player is aged Under 18) Signature of Official: ________________________________________________________________ Signature of Parent: ______________________________________________ Name of Official: (Print) Name of Parent: (Print) ___________________________________________ ________________________________________________________________ Date:_____/____/________ Date: ___/____/_____EDFL Club_____________________________________ I hereby consent to the registration of my son/daughter with the EDFL. I acknowledge that I have been provided with and understand the Codes of Conduct of the EDFL. I hereby agree to abide by the Codes of Conduct and agree to observe and obey these Codes and all rulings made by the League that relate to me. I understand that the League may withdraw or suspend my son(s)/daughter(s) registration to play in the EDFL should I fail to comply with the Codes and/or any rulings of the League should I breach said Codes. I have read and agree to the Terms and Conditions In submitting this form, I declare that the information supplied is in accordance with the copy retained on file by the club. All the player’s relevant information and documentation is available upon request of the League. Has the player ever been disqualified by any League or Club? Yes No Is the player currently under disqualification by any League or Club? Yes No If yes, do not submit transfer application Does the player have a current contract? Yes No If yes, do not submit transfer application, refer to EDFL if disputed. Is the player in possession of club property? Yes No If yes, do not submit transfer application, refer to EDFL if disputed. Does the player owe money to previous club? Yes No If yes, do not submit transfer application, refer to EDFL if disputed. Please Re-lodge Transfer Request on my behalf: Players Signature…………………………………………………………..Date / / 2017
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