Junior/Youth TEAM Dispensation Request

2016 Junior/Youth Team Dispensation Form
This form must be used when Clubs are seeking approval to play an entire team or squad, where all players or a high proportion of the players are
eligible for a lower grade. Clubs must seek dispensation from the Federation, who will consider the application based on player development and player
safety.
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7-a-side (more than five players in a team)
9–a-side (more than six players in a team)
11-a-side (more than seven players in a team)
Dispensations require approval from AFF Football Development Manager, Jason Batty.
Team dispensations MUST be submitted to AFF on or before team entries so the team can be entered into the correct age grade
competition. Team dispensations requests close on Monday 7th March 2016 @ 12pm.
For more information on the player dispensation process, please refer to the information sheet available for download from the Auckland Football
website under Resources / Downloads – www.aucklandfootball.org.nz
Scan & email or fax this completed form to AFF Competitions Administrator, Kelly Bolus - [email protected] / Fax 09 525 1361
Club: ____________________________________Coach’s name: ________________________________________________________________
Email: ________________________________________Phone & Mobile: ____________________________________________________
Junior / Youth Chairperson name :__________________________________Signature:_____________________________________
Proposed new grade & division for 2016 : ____________________________AFF Approval Signature:__________________________
Reason for dispensation requested :
NZF Player
Registration
Number
First Name
Last Name
DOB
2015 grade, division & team name
Parent / caregiver authorization signature
** Parent / Caregiver authorization for all players must be submitted to AFF if application is successful within 14 days of AFF approval