METRO SOUTH APPLICATION TO WEAR PROTECTIVE EQUIPMENT

All protective equipment must be constructed of non-metallic materials or soft plastics. Straps should be kept firmly to the equipment and not flailing. All protective equipment, other than spectacles and full length skins must be inspected and approved by the Competition Management prior to use.

Players name Players name First Last
Club name
Team name
Year group
Type of protective equipment
If the protective equipment you wish to apply for is not listed in the previous option, please state the type of equipment in the text box below
Please select the reason for this request:

Please select the reason for this request: Medical - Please ensure any doctor’s reports are attached to this application, upload this document in the "Select Files" option below.
Attach Files
Personal - Please provide a brief explanation for the application in the text box below.
Upload the signed Parent/Guardian declaration form - Helmet applications only.

Attach Files
By checking the box below you are confirming the following:
* All details on this form are correct.
* This request has been submitted by the club on behalf of the above named players parent/guardian.

By checking the box below you are confirming the following:
* All details on this form are correct.
* This request has been submitted by the club on behalf of the above named players parent/guardian.
Name of committee member completing this application Name of committee member completing this application First Last
Committee position held
Applicants email address
Application date Application date / MM / DD YYYY