2025 - Withdrawals, Additions and Change Requests - Forms

Name of Club(Required)

Name of Club Representative (An Authorised Club Contact)(Required)

Club Representative Position(Required)

Email(Required)

Phone(Required)

Competition(Required)

Team Name: (Club - Age Group - Division) (Club - Age Group - Color - Animal)(Required)

Request(Required)

Withdrawal

Addition

Change Request

Reason for the withdrawal:(Required)

Please note all withdrawals are associated with the Withdrawal Fees outlined in Annexure 12.

Reason for the addition:(Required)

Please note all additions are associated with the Late Team Entry Fees outlined in Annexure 12.

Request to Move to: (Age Group - Division) or (Age Group - Color - Animal)(Required)

Please note the majority of Change Requests are associated with the Change Request Fees outlined in Annexure 12.

Reason for the change request:(Required)

Please note all change requests are at the discretion of Football West.

Any Additional Information:

Download Annexure 12 – 2025 Fee Schedule (PDF)

Request to Withdraw/Add or Change Request for a second team?(Required)

Yes

Second Team: Competition(Required)

Second Team Name: (Club - Age Group - Division) (Club - Age Group - Color - Animal)(Required)

Second Request(Required)

Withdrawal

Addition

Change Request

Reason for the withdrawal:(Required)

Please note all withdrawals are associated with the Withdrawal Fees outlined in Annexure 12.

Reason for the addition:(Required)

Please note all additions are associated with the Late Team Entry Fees outlined in Annexure 12.

Request to Move to: (Age Group - Division) or (Age Group - Color - Animal)(Required)

Please note the majority of Change Requests are associated with the Change Request Fees outlined in Annexure 12.

Reason for the change request:(Required)

Please note all change requests are at the discretion of Football West.

Any Additional Information:

Annexure 12 Fees: https://www.footballwest.com.au/sites/fw/files/2025-01/Annexure%2012%20-%20Fees%202025_0.pdf

Request to Withdraw/Add or Change Request for a third team?(Required)

Yes

Third Team: Competition(Required)

Third Team Name: (Club - Age Group - Division) (Club - Age Group - Color - Animal)(Required)

Third Request(Required)

Withdrawal

Addition

Change Request

Reason for the withdrawal:(Required)

Please note all withdrawals are associated with the Withdrawal Fees outlined in Annexure 12.

Reason for the addition:(Required)

Please note all additions are associated with the Late Team Entry Fees outlined in Annexure 12.

Request to Move to: (Age Group - Division) or (Age Group - Color - Animal)(Required)

Please note the majority of Change Requests are associated with the Change Request Fees outlined in Annexure 12.

Reason for the change request:(Required)

Please note all change requests are at the discretion of Football West.

Any Additional Information:

Annexure 12 Fees: https://www.footballwest.com.au/sites/fw/files/2025-01/Annexure%2012%20-%20Fees%202025_0.pdf

Request to Withdraw/Add or Change Request for a fourth team?(Required)

Yes

Fourth Team: Competition(Required)

Fourth Team Name: (Club - Age Group - Division) (Club - Age Group - Color - Animal)(Required)

Fourth Request(Required)

Withdrawal

Addition

Change Request

Reason for the withdrawal:(Required)

Please note all withdrawals are associated with the Withdrawal Fees outlined in Annexure 12.

Reason for the addition:(Required)

Please note all additions are associated with the Late Team Entry Fees outlined in Annexure 12.

Request to Move to: (Age Group - Division) or (Age Group - Color - Animal)(Required)

Please note the majority of Change Requests are associated with the Change Request Fees outlined in Annexure 12.

Reason for the change request:(Required)

Please note all change requests are at the discretion of Football West.

Any Additional Information:

Annexure 12 Fees: https://www.footballwest.com.au/sites/fw/files/2025-01/Annexure%2012%20-%20Fees%202025_0.pdf

Request to Withdraw/Add or Change Request for a fifth team?(Required)

Yes

Fifth Team: Competition(Required)

Fifth Team Name: (Club - Age Group - Division) (Club - Age Group - Color - Animal)(Required)

Fifth Request(Required)

Withdrawal

Addition

Change Request

Reason for the withdrawal:(Required)

Please note all withdrawals are associated with the Withdrawal Fees outlined in Annexure 12.

Reason for the addition:(Required)

Please note all additions are associated with the Late Team Entry Fees outlined in Annexure 12.

Request to Move to: (Age Group - Division) or (Age Group - Color - Animal)(Required)

Please note the majority of Change Requests are associated with the Change Request Fees outlined in Annexure 12.

Reason for the change request:(Required)

Please note all change requests are at the discretion of Football West. If you would like to Withdraw, Add or Change any more teams please submit this form and complete another form. Thank You

Annexure 12 Fees: https://www.footballwest.com.au/sites/fw/files/2025-01/Annexure%2012%20-%20Fees%202025_0.pdf

Any Additional Information