Club Information Sheet

Club Information Sheet
Club Name *

Address

Street Address
Street Address Line 2
City	State / Province
Postal / Zip Code	Country

Secretary
Name *

First Name Last Name

Address

Street Address
Street Address Line 2
City	State / Province
Postal / Zip Code	Country

Phone Number (Mobile) *

Area Code Phone Number
Phone Number (Home)

Area Code Phone Number
Phone Number (Work)

Area Code Phone Number
Email *
example@example.com
President
Name *

First Name Last Name

Address

Street Address
Street Address Line 2
City	State / Province
Postal / Zip Code	Country

Phone Number (Mobile) *

Area Code Phone Number
Phone Number (Home)

Area Code Phone Number
Phone Number (Work)

Area Code Phone Number
Email *
example@example.com
Registrar
Name *

First Name Last Name
Phone Number (Mobile) *

Area Code Phone Number
Phone Number (Home)

Area Code Phone Number
Phone Number (Work)

Area Code Phone Number
Email *
example@example.com
Club Fixture Officer
Name *

First Name Last Name
Phone Number (Mobile) *

Area Code Phone Number
Phone Number (Home)

Area Code Phone Number
Phone Number (Work)

Area Code Phone Number
Email *
example@example.com
Wet Weather Contact (Primary)
Name *

First Name Last Name
Phone Number (Mobile) *

Area Code Phone Number
Phone Number (Home)

Area Code Phone Number
Phone Number (Work)

Area Code Phone Number
Email *
example@example.com
Wet Weather Contact (Secondary)
Name *

First Name Last Name
Phone Number (Mobile)

Area Code Phone Number
Phone Number (Home)

Area Code Phone Number
Phone Number (Work)

Area Code Phone Number
Email
example@example.com
MPIO (Member Protection Information Officer)
Name *

First Name Last Name
Phone Number (Mobile) *

Area Code Phone Number
Phone Number (Work)

Area Code Phone Number
Email *
example@example.com
Working With Children Check Officer

Please give details of the Committee Member in charge of collecting WWCC numbers
Name *

First Name Last Name
Phone Number *

Area Code Phone Number
Email *
example@example.com
Club Coaching Coordinator
Name

First Name Last Name
Phone Number (Mobile)

Area Code Phone Number
Phone Number (Home)

Area Code Phone Number
Phone Number (Work)

Area Code Phone Number
Email
example@example.com
Club Small Sided Football Coordinator
Name

First Name Last Name
Phone Number (Mobile)

Area Code Phone Number
Phone Number (Home)

Area Code Phone Number
Phone Number (Work)

Area Code Phone Number
Email
example@example.com
Primary Delegate to the Association
Name *

First Name Last Name
Phone Number (Mobile) *

Area Code Phone Number
Phone Number (Home)

Area Code Phone Number
Secondary Delegate to the Association
Name *

First Name Last Name
Phone Number (Mobile) *

Area Code Phone Number
Phone Number (Home)

Area Code Phone Number

Nominated Home Ground
Full Name of Ground *

Address

Street Address
Street Address Line 2
City	State / Province
Postal / Zip Code	Country

Phone Number at Ground (If Applicable)

Area Code Phone Number
Registered Colours and Emblems
Predominant Colour *
Other Colours *
Shorts Colour *
Socks Colour *
Alternate Strip
Predominant Colour
Other Colours
Shorts Colour
Sock Colour
Upload Current Logo *

Browse Files

Cancel of

Is Your Organisation An Incorporated Body? *

Yes No
Summary of Balance Sheets (Must be Completed)
Income *
Expenditure *
Profit or Loss *
Other Outstanding *
Current Balance *
Date Of Annual General Meeting
Last Meeting Date *

Day Month Year
Date
Next Meeting Date

Day Month Year
Date
Please contact the office for any inquiries 4957 7001
Should be Empty:

Club Information Sheet

Secretary

President

Registrar

Club Fixture Officer

Wet Weather Contact (Primary)

Wet Weather Contact (Secondary)

MPIO (Member Protection Information Officer)

Working With Children Check Officer

Club Coaching Coordinator

Club Small Sided Football Coordinator

Primary Delegate to the Association

Secondary Delegate to the Association

Nominated Home Ground

Registered Colours and Emblems

Alternate Strip

Summary of Balance Sheets (Must be Completed)

Date Of Annual General Meeting