Sunshine Coast Football Forms

Sunshine Coast Football Affiliation Application 2021

Appendix A - Due Monday 18th January 2021
1.0 CLUB DETAILS
Full Name of Club*
Trading As (if different)
Playing Ground Name*
Playing Ground Address*

Street Address

Street Address Line 2

SuburbState / Province

Postcode
Postal Address*

PO Box #

Street Address

SuburbState

Postcode
Club Email Address*
Club Phone Number
Website*
Facebook Page*
Club Logo (jpg etc)*
1.1 Committee Details
Club President*

First NameLast Name
Mobile Number*
Email*
Vice President*

First NameLast Name
Mobile Number*
Email*
Secretary*

First NameLast Name
Mobile Number*
Email*
Treasurer*

First NameLast Name
Mobile Number*
Primary email for invoices & accounts*
Additional (secondary ) email for accounts*
1.2 Registrars
Senior Registrar*

First NameLast Name
Mobile Number*
Email*
Junior Registrar*

First NameLast Name
Mobile Number*
Email*
Please provide details below if you have more than one Registrar in each age group.

Main contact should be above.
Senior Registrar 2

First NameLast Name
Mobile Number
Email
Junior Registrar 2

First NameLast Name
Mobile Number
Email
MiniRoos Registrar

First NameLast Name
Mobile Number
Email
MiniRoos Registrar 2

First NameLast Name
Mobile Number
Email
1.3 Other Club Contacts

WET WEATHER CONTACT 1 - THE PERSON WHO WILL ADVISE SCF OF CLOSURE OF YOUR FIELDS DUE TO WET WEATHER

NB: SCF will NOT deal with cancellations of any NPL / FQPL / SAP GAMES
Contact 1*

First NameLast Name
Mobile Number*
Contact 2

First NameLast Name
Mobile Number
WET WEATHER CONTACT 2 - THE PERSON WHO SCF WILL ADVISE OF OPPOSITION CLUBS FIELD CLOSURES (MAY BE DIFFERENT TO ABOVE)

This person will be contacted by SCF via SMS with advice of cancelled grounds on Saturdays / Sundays. This is the person in your club who can pass on information regarding ground closures to your club members quickly i.e. via email, text etc (The website will be updated ASAP after notification)
Contact*

First NameLast Name
Mobile Number*
GROUNDS PERSON - THE PERSON RESPONSIBLE FOR MAINTENANCE OF YOUR GROUNDS AND FIELDS
Contact*

First NameLast Name
Mobile Number*
Email*
PERSON RESPONSIBLE FOR SUBMITTING TEAM SHEETS

This is the person in your club who can scan and email ALL team sheets to the SCF office by no later than 8am MONDAY morning following Friday and Saturday / Sunday matches or 8am the following day for mid-week matches. This person MUST be contactable during business hours in the event of any queries by the SCF office.
Contact*

First NameLast Name
Mobile Number*
Email*
Club Publicity Officer

First NameLast Name
Mobile Number
Email
Premier Men's Coach

First NameLast Name
Mobile Number
Email
Premier Women's Coach

First NameLast Name
Mobile Number
Email
CLUB CONTACT FOR CLUB DIRECTORY - This person will be added to a Club Contact Directory to be forwarded to all clubs. This person may be contacted by opposition clubs to advise late forfeits on the day.
Contact*

First NameLast Name
Position in Club*
Mobile Number*
Email*
1.4 Technical Director / Director of Coaching (DOC)

This person will liaise with Sunshine Coast Football regarding all Coach Development and Coach Education information.
Name*

First NameLast Name
Coaching Qualifications*
Mobile Number*
Email*
1.5 Club Coach Coordinator (CCC)

The primary purpose of the position is to provide relevant and valued coach support in the club environment and to monitor and mentor coaches to conduct appropriate quality football activities that will enhance the players and coaches experience.
Name*

First NameLast Name
Coaching Qualifications (please list or enter Zero if none)*
Mobile Number*
Email*
Please provide details below if you have more than one Club Coach Coordinator at your Club.

Main contact should be above.
Name
Coaching Qualifications (please list or enter Zero if none)
Mobile Number
Email
2.0 INSURANCE
1. Your club's Certificate of Currency can be accessed here - http://www.gowgatessport.com.au/football/memberfederations-certificate-of-currency/
2. Risk Management documentation can be found here - http://gowgatessport.com.au/football/risk-management-guidlelines/risk-management-documentation/
3. All club's are required to complete the Safe Football Induction Programme once per season to ensure that their players are eligible for insurance, this is a ten point multiple choice questionnaire- http://www.gowgatessport.com.au/football/risk-management-guidlelines/your-club-induction-questionnaire/.
Once completed please acknowledge below.
I acknowledge completion of the Safe Football Induction programme*

First NameLast Name
Date

DayMonthYear
Date
3.0 FFA NATIONAL CLUB DEVELOPMENT PROGRAM

Clubs are required to participate in the National Club Development program to raise the overall standard of club administration and operations at all levels of the game. The Program aims to provide a clear model that helps develop and maintain a successful football club.
Step 1 - Login

Your e-mail address is your Club's Primary Play Football Login. If you do not know this e-mail address, please contact Sunshine Coast Football.
BEFORE YOU LOG IN THE FIRST TIME - You will need to "create" a password. Please note that you will need access to the login e-mail address, to complete this process.
You will then be able to log into the system.

https://ffa.qlbs.com.au/Home/Login
I acknowledge registration for the FFA National Club Development program*

First NameLast Name
Date

DayMonthYear
Date
4.0 FIELD INFORMATION
Please attach a field layout diagram showing age groups per field (max 2Mb)*

Upload a File

Cancelof
Earliest date your grounds can start hosting 2021 pre-season and fixture matches*

DayMonthYear
Field Unavailability

Please advise below all dates that your grounds are unavailable in 2021 (including pre-season) i.e clashes with Summer sports change over, special events, fetes etc. You should also be aware of days / nights used for wet weather re-schedules as below and confirm any time your grounds are unavailable.
Unavailable From

DayMonthYear
Date
Unavailable To

DayMonthYear
Date
Reason
Unavailable From

DayMonthYear
Date
Unavailable To

DayMonthYear
Date
Reason
Unavailable From

DayMonthYear
Date
Unavailable To

DayMonthYear
Date
Reason
Unavailable From

DayMonthYear
Date
Unavailable To

DayMonthYear
Date
Reason
Unavailable From

DayMonthYear
Date
Unavailable To

DayMonthYear
Date
Reason
Please attach additional dates separately. Any further information:
Fixture Scheduling - Please indicate your preference (Referee appointments will be considered)*

Hosting Premier/ Premier Reserve Men's games - work backwards from 6pm kickoffHosting Premier/ Premier Reserve Men's games - schedule Juniors early then break until Seniors kickoffNo Men's games - start early and spread games outNo Men's games - start early and condense games as much as possible
Re-Scheduling of Matches

Re-schedules due to wet weather will take place as follows:

1. Friday night matches to the following Tuesday night

2. Saturday Senior matches to the following Wednesday night

3. Saturday Junior matches - Under 15 / 16 Boys, Under 16 Girls & Under 18 Boys matches to mid week

4. Saturday Junior matches - Under 12 Boys & Girls, Under 13 Boys, Under 14 Girls & Under 14 Boys to Sunday week

5. U10/11s Kangaroos matches to Sunday week

All competitive matches must be re-scheduled and played. In the first instance Under 10 Kangaroos and Under 11 Kangaroos will be re-scheduled and must be played, however if the match is required to be re-scheduled a second time clubs can apply for the match not to be played.

Check competition rules for updated information.
Other considerations e.g. parking
5.0 CLUB FACILITIES

Please complete the following regarding facilities available at your club. Please select Yes/No and include details if required.
Ground
Onsite Carparking
No. of spaces
Canteen
Public Toilets - Male
Public Toilets - Female
Public Address System
Covered Reserve Benches
Score Board
Field Lighting
Details - No. of fields lit to Match standard
Team Dressing Rooms
No. of rooms
Can be locked ?
Showers ?
No. of showers
Hot & Cold Water ?
Toilets in dressing rooms ?
No. of toilets
Referee's Room(s)
No. of rooms
Can be locked?
Showers ?
No. of showers
Hot & Cold Water ?
Toilets in Referee rooms ?
No. of toilets
Other facilites offered by your club ?
6.0 PLAYING STRIPS

Please provide details of each team's kit colour below and indicate current sponsors.

Please upload images of Premier Men's / Premier Women's strips including socks. (This is a requirement for all Clubs fielding these teams.)

NB: All strip changes must have prior approval of SCF Board. All changes should be notified in writing and have accompanying photo prior to placing any orders.

All shirts, Under 6 through to Seniors MUST display a visible McDonald's logo
Premier / Premier Reserve Men

Browse Files
Please upload image file Cancelof
Premier / Premier Reserve Women

Browse Files
Please upload image file Cancelof
Senior Men (inc. Alternate Kit, Top, Shorts & Sock Colour)
Senior Women (inc. Alternate Kit, Top, Shorts & Sock Colour)
Competition Juniors (inc. Alternate Kit, Top, Shorts & Sock Colour)
MiniRoos (Top, Shorts & Sock Colour)
7.0 CLUB OPEN / INFORMATION DAYS

Club Open Days and Information Days will be advertised on the Sunshine Coast Football website and Facebook page and other media outlets (to be confirmed). This is in place of traditional sign on dates and times due to the Play Football online registration system.

The following details will be used during the advertising campaign with names and numbers published on the SCF website and Facebook page (and other media if required).

Please ensure the nominated people are aware their number will be published.
Contact 1

First NameLast Name
Contact Number
Contact 2

First NameLast Name
Contact Number
Please confirm any days / times your club will be open to the general public for information and / or assistance with Play Football. If your venue varies from your club house please advise below:

Open / Information Days dates and times (if applicable):
Open / Info Day 1

DayMonthYear
Open / Info Day 2

DayMonthYear
Time: From - To
Time: From - To
Terms & Conditions

By submitting this request form you agree to the following:

The information supplied in this application is, to the best of my knowledge, true and correct.

You agree that your club will be bound by the Football Qld - Sunshine Coast Football Constitution and Sunshine Coast Football Competition Rules (which may vary from time to time) including the purchase and display of two (2) corflute signs displaying the FFA Code(s)of Conduct / Fair Play, wording to be determined by SCF each year.

I am authorised by the club / legal entity to make this declaration on it's behalf.
Submitted By*

First NameLast Name
Committee Position*
Contact Number*
Date*

DayMonthYear
Should be Empty:

Sunshine Coast Football Affiliation Application 2021

Ground

Team Dressing Rooms

Referee's Room(s)