You can always press Enter⏎ to continue
2021 New Futsal Club Application Form
2021 New Futsal Club Application Form
Thank you for your expression of interest to be affiliated with Football Victoria. For FV to consider any new club applications, the following online form must be completed with and include all relevant documents. Please note FV will only consider applications that have been submitted in full.
2021 New Futsal Club Application Form
  • 1

    INTRODUCTION

    This 2021 New Futsal Club Application Form must be completed in order for Football Victoria (FV) to approve entry into any FV Futsal competitions, events and tournaments.

    Please note that completion of this form does not guarantee entry into FV Competitions, and FV may decline a new club entry at any time.

    This 2021 New Futsal Club Application Form contains the following sections:

    1. Futsal Club Overview
    2. Futsal Club Background
    3. Futsal Club Vision
    4. Budget Development
    5. Provisional Team Entries
    6. Communications & Media
    7. Additional Information

    Approval of your Club’s application is conditional on you providing your ABN/ACN to FV and paying an annual affiliation fee of $250.00 via invoice within 7 days of approval.

    Once your application has been approved by Football Victoria, you will receive confirmation and an affiliation package via email. 

    For more information on the affiliation process please contact:

    Anthony Grima
    Head of Commercial and Futsal
    Mobile: 0466 208 213
    Email: anthony.grima@footballvictoria.com.au

    Information provided by you in this form will be handled by FV in accordance with our Privacy Policy.

    Press
    Enter
  • 2
    Please outline the representative who is submitting the application on behalf of the Futsal Club?
    Press
    Enter
  • 3
    Mobile phone preferred
    Press
    Enter
  • 4
    Email Address
    Press
    Enter
  • 5
    Press
    Enter
  • 6
    A statement of commitment to child safety affirms the organisation's commitment to child safety by clearly stating that the organisation has: o Zero tolerance for child abuse o A commitment to children’s best interests and keeping them safe and o Actively works to listen to and empower children in the organisation Please use the below section to construct the Club's Statement of Commitment to Child Safety which incorporates the 3 points listed above.
    TextSizeCreated with Sketch.
    • Huge
    • Large
    • Normal
    • Small
    BoldCreated with Sketch.
    ItalicCreated with Sketch.
    UnderlineCreated with Sketch.
    Underline CopyCreated with Sketch.
    Ok
    NumberList Copy 2Created with Sketch.
    quoteCreated with Sketch.
    BreakCreated with Sketch.
    ImageCreated with Sketch.
    Ok
    SmileyCreated with Sketch.
    Press
    Enter
  • 7
    Please provide a preferred and alternative club names in the fields below
    Press
    Enter
  • 8
    Please provide the below required details regarding your Club's location and Futsal Centre
    Press
    Enter
  • 9
    Please indicate the main playing colours of your team (please note that predominantly black strips are not permitted).
    Press
    Enter
  • 10
    Please attach a copy of your logo as well as any variations
    Drag and drop files here
    Select files to upload
    Max. file size: 10.6MB
    Cancelof
    Press
    Enter
  • 11
    Press
    Enter
  • 12
    Please note that non-disclosure may result in your application being rejected
    TextSizeCreated with Sketch.
    • Huge
    • Large
    • Normal
    • Small
    BoldCreated with Sketch.
    ItalicCreated with Sketch.
    UnderlineCreated with Sketch.
    Underline CopyCreated with Sketch.
    Ok
    NumberList Copy 2Created with Sketch.
    quoteCreated with Sketch.
    BreakCreated with Sketch.
    ImageCreated with Sketch.
    Ok
    SmileyCreated with Sketch.
    Press
    Enter
  • 13
    TextSizeCreated with Sketch.
    • Huge
    • Large
    • Normal
    • Small
    BoldCreated with Sketch.
    ItalicCreated with Sketch.
    UnderlineCreated with Sketch.
    Underline CopyCreated with Sketch.
    Ok
    NumberList Copy 2Created with Sketch.
    quoteCreated with Sketch.
    BreakCreated with Sketch.
    ImageCreated with Sketch.
    Ok
    SmileyCreated with Sketch.
    Press
    Enter
  • 14
    Affiliations include both formal and informal arrangements
    TextSizeCreated with Sketch.
    • Huge
    • Large
    • Normal
    • Small
    BoldCreated with Sketch.
    ItalicCreated with Sketch.
    UnderlineCreated with Sketch.
    Underline CopyCreated with Sketch.
    Ok
    NumberList Copy 2Created with Sketch.
    quoteCreated with Sketch.
    BreakCreated with Sketch.
    ImageCreated with Sketch.
    Ok
    SmileyCreated with Sketch.
    Press
    Enter
  • 15
    TextSizeCreated with Sketch.
    • Huge
    • Large
    • Normal
    • Small
    BoldCreated with Sketch.
    ItalicCreated with Sketch.
    UnderlineCreated with Sketch.
    Underline CopyCreated with Sketch.
    Ok
    NumberList Copy 2Created with Sketch.
    quoteCreated with Sketch.
    BreakCreated with Sketch.
    ImageCreated with Sketch.
    Ok
    SmileyCreated with Sketch.
    Press
    Enter
  • 16
    A strategic pillar for FV is to promote participation opportunities for female players
    TextSizeCreated with Sketch.
    • Huge
    • Large
    • Normal
    • Small
    BoldCreated with Sketch.
    ItalicCreated with Sketch.
    UnderlineCreated with Sketch.
    Underline CopyCreated with Sketch.
    Ok
    NumberList Copy 2Created with Sketch.
    quoteCreated with Sketch.
    BreakCreated with Sketch.
    ImageCreated with Sketch.
    Ok
    SmileyCreated with Sketch.
    Press
    Enter
  • 17
    Providing a safe and inclusive setting for all participants is a vital part of your club's development, a great way to strengthen community involvement and also promotes your club as a family friendly organisation.
    TextSizeCreated with Sketch.
    • Huge
    • Large
    • Normal
    • Small
    BoldCreated with Sketch.
    ItalicCreated with Sketch.
    UnderlineCreated with Sketch.
    Underline CopyCreated with Sketch.
    Ok
    NumberList Copy 2Created with Sketch.
    quoteCreated with Sketch.
    BreakCreated with Sketch.
    ImageCreated with Sketch.
    Ok
    SmileyCreated with Sketch.
    Press
    Enter
  • 18
    Do you have coaches that are in need of formal Futsal qualification/accreditation?
    TextSizeCreated with Sketch.
    • Huge
    • Large
    • Normal
    • Small
    BoldCreated with Sketch.
    ItalicCreated with Sketch.
    UnderlineCreated with Sketch.
    Underline CopyCreated with Sketch.
    Ok
    NumberList Copy 2Created with Sketch.
    quoteCreated with Sketch.
    BreakCreated with Sketch.
    ImageCreated with Sketch.
    Ok
    SmileyCreated with Sketch.
    Press
    Enter
  • 19
    Press
    Enter
  • 20
    Drag and drop files here
    Select files to upload
    Max. file size: 10.6MB
    Cancelof
    Press
    Enter
  • 21

    TEAM ENTRIES

    FV Futsal Clubs can enter a variety of teams across genders, age groups and levels, in the annual FV Futsal State Championships, affiliated social leagues and FV's premier Futsal League/Competition.

     

    Press
    Enter
  • 22
    TextSizeCreated with Sketch.
    • Huge
    • Large
    • Normal
    • Small
    BoldCreated with Sketch.
    ItalicCreated with Sketch.
    UnderlineCreated with Sketch.
    Underline CopyCreated with Sketch.
    Ok
    NumberList Copy 2Created with Sketch.
    quoteCreated with Sketch.
    BreakCreated with Sketch.
    ImageCreated with Sketch.
    Ok
    SmileyCreated with Sketch.
    Press
    Enter
  • 23
    Please paste the links below of the Clubs Social Media Accounts (Facebook, Instagram, Twitter, ect.)
    TextSizeCreated with Sketch.
    • Huge
    • Large
    • Normal
    • Small
    BoldCreated with Sketch.
    ItalicCreated with Sketch.
    UnderlineCreated with Sketch.
    Underline CopyCreated with Sketch.
    Ok
    NumberList Copy 2Created with Sketch.
    quoteCreated with Sketch.
    BreakCreated with Sketch.
    ImageCreated with Sketch.
    Ok
    SmileyCreated with Sketch.
    Press
    Enter
  • 24
    Press
    Enter
  • 25
    TextSizeCreated with Sketch.
    • Huge
    • Large
    • Normal
    • Small
    BoldCreated with Sketch.
    ItalicCreated with Sketch.
    UnderlineCreated with Sketch.
    Underline CopyCreated with Sketch.
    Ok
    NumberList Copy 2Created with Sketch.
    quoteCreated with Sketch.
    BreakCreated with Sketch.
    ImageCreated with Sketch.
    Ok
    SmileyCreated with Sketch.
    Press
    Enter
  • Should be Empty:
Question Label
1 of 25See AllGo Back
close