"*" indicates required fields Football West 2023 Club/Association Affiliation Form Welcome to the Football West 2023 Club/Association Affiliation Form. Football West is looking to streamline administrative functions for all clubs and associations by making affiliation a much more simpler process going forward. Affiliation is fundamental for clubs and associations, providing access to services and participation in competitions for both the advanced football pyramid and community competitions and programs. This online process will generate efficiencies for both Clubs and FW through a reduction in administrative burden in relation to affiliation and will assist in providing a greater level of understanding in relation to many operational areas of the game. A comprehensive FAQ page has been produced by Football West HERE Please note, affiliation can also be completed through the Football West competition management platform, Squadi. This form will take approx. 10 minutes to complete. For any further questions, please contact clubsupport@footballwest.com.auClub/Association Legal Name* Club/Association Generic Email Address* Club/Association Phone Number (This is your Club Landline or Club Mobile number)*Main Club/Association ContactFirst Name* First Last Name* Phone*Email* President/ChairFirst Name* First Last Name* Phone*Email* SecretaryFirst Name* First Last Name* Phone*Email* TreasurerFirst Name* First Last Name* Phone*Email* RegistrarFirst Name* First Last Name* Phone*Email* Member Protection or SafeguardingFirst Name First Last Name PhoneEmail Coach Coordinator/Technical DirectorFirst Name First Last Name PhoneEmail Program Offerings Please select all options that are relevant to your Club (tick box)Program Offerings Please select all options that are relevant to your Club (tick box)* Miniroos (4-11 years) Miniroos Kick-Off Girls Only Miniroos Junior Competition Senior Competition Masters Competitions Walking Football Futsal Summer Football Social Football Holiday Clinics Come and Try Days Women’s and Girls Specific Programs and Activities Inclusion Activities Nominated Representative The Nominated Club Representative is the individual that has been appointed by the Club to complete and submit the Football West Affiliation Form. This individual must hold a position of authority and have the ability to act on behalf of the legal entity / club.Full Name* First Email* The Club/Association will abide by Football West‘s and Football Australia‘s Policies and Procedures as they applyConsent* Declaration and Acknowledgement that the information entered above is a true and accurate reflection of the Club/Association*