2025 METRO SOUTH SPECIAL FIXTURE REQUESTS

Please be aware that all requests will be taken into consideration however there are no guarantees

Club name
Year group
Date of special request Date of special request / MM / DD YYYY
Round No.
Please state your special request and the reason, including any relevant history
Name of committee member making the request Name of committee member making the request First Last
Committee position held
Applicant's email
Application date Application date / MM / DD YYYY