Permission to play application form

Permission to play application form
In accordance with rule 140 of the official guide.
Section 1: To be completed by player
Name of player
Address:
Current Club
Adjoining clubs
Club you seek permission to play with- Status of
that Club (Junior, Senior, Intermediate)
Reasons for permission to play
No of adult registered players/mentors in your
home club
Players
Mentors
No of underage registered players in your own club
U18
Club Status(your own club) , please circle
Have you played club/county in last 3 years, if so
state grade and age group
Number of matches played last season
Junior Intermediate Senior Other
U16
U14
League
Championship
List previous permissions to play if any
Signature of player:
_________________________________________
Signature of Parent /Guardian if u/18: _________________________________________
Section 2 to be completed by current club secretary. (Mandatory)
Names of any additional players seeking permission to play outside your club:
Club Secretary Signature:
_______________________________________
Date:
____ / ____ / ____
Comments from County Board on why permission was granted/refused :
Any additional relevant information:
County Secretary Signature:
_______________________________________
Date:
____ / ____ / ____
Section 3: To be completed by National Regrading committee: (Mandatory)
Permission to play : Granted /Refused .
Reasons :
_____________________________________________________________________
_____________________________________________________________________
Signed:
__________________________________________
Con Moynihan
Chairman
Regrading Committee
Date:
____ / ____ / ____
Please return this completed form to:
Ladies Gaelic Football Association
Croke Park
Dublin 3
Or [email protected]