Affiliation Form

Club Name*

Authorised Name of Person submitting form*

Club Address Details*

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Authorise Applicants Contact Number*

Authorise Applicants Email Address*

Club President*

Phone*

Email*

Club Secretary*

Phone*

Email*

Club Treasurer*

Phone*

Email*

Club Recorder*

Phone*

Email*

Club Coaching Coordinator*

Phone*

Email*

BDAFA Delegate #1*

BDAFA Delegate #2*

WWCC Employer Number*

Fieldset

Home Ground*

Shirt Colour*

Shorts Colour*

Socks Colour*

Please ensure the following are attached with your submission*

Failure to attach all of the following may result in delays in your Club Affiliation being accepted by the Board.

Please note this form must be fully completed and returned by due date to be a participating Club in the 2022 season and the 2021 AGM

File Upload - Clubs Constitution*

File Upload - Clubs Financial Statements*

File Upload - Clubs AGM Minutes*

File Upload - Declaration of Financial agreement or Sponsorship with a Football NSW Club*

File Upload - Declaration of Association with a Football NSW Club*

File Upload - DECLARATION OF WWCC COMPLIANCE*

DECLARATION OF WWCC COMPLIANCE

Please enter any two digits*