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Covid-19 Postponement Request Form

MM slash DD slash YYYY
KO Time(Required)
:
Please provide as much detail as possible
Please provide as much detail as possible
Please provide as much detail as possible
MM slash DD slash YYYY
New KO Time(Required)
:
Please provide as much detail as possible
MM slash DD slash YYYY
Football West will use these dates to liaise with the impacted Clubs around rescheduling the match.
MM slash DD slash YYYY
Football West will use these dates to liaise with the impacted Clubs around rescheduling the match.
MM slash DD slash YYYY
Football West will use these dates to liaise with the impacted Clubs around rescheduling the match.
Max. file size: 128 MB.
Club Contact Name(Required)
Max. file size: 128 MB.
Max. file size: 128 MB.
Max. file size: 128 MB.
Max. file size: 128 MB.
Acknowledgement(Required)
By ticking this box I acknowledge that the information I have provided on behalf of my Club is accurate and agree that if the information I have provided is incorrect that my Club may face repercussions that may include fines, loss of competition points or disaffiliation from Football West. Under the terms of the Football West Code of Conduct I may also be personally found liable if the information is found to be inaccurate.

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