FORFEIT NOTIFICATION

FORFEIT NOTIFICATION - MiniRoos

NB: For same day forfeits (Mon - Fri) please phone the office during business hours. ALL forfeits must be confirmed by submission of this form. Refer Appendix A - Fines - for forfeit costs
DATE *

Day Month Year
CLUB *
CLUB OFFICIAL *
POSITION *
Match Details
MATCH DATE *

Day Month Year
MATCH TIME *

: Hour Minutes AM/PM Option
COMPETITION NAME *
HOME CLUB *
TEAM NAME *
AWAY CLUB *
TEAM NAME *
NEUTRAL VENUE ? PLEASE SELECT CLUB
REASON FOR FORFEIT *
Office Use Only :
Fixture Updated:
Forfeit Result Recorded
Fine Applicable ?

Yes No
Fine Amount
Should be Empty:

FORFEIT NOTIFICATION - MiniRoos