2024 Metro North Application to Change Fixture

For any requests to change fixtures please complete and submit the form below. Every effort will be made to accommodate your request but no guarantees can be made.

Current Fixture Information
Round of Fixture Change
Date of Current fixture Date of Current fixture / DD / MM YYYY
Current Fixture time Current Fixture time : HH MM AM/PM
Current Ground
Age group

Age group Year 3/4 Female Year 3 competition Year 8 competition Year 5/6 Female Year 4 competition Year 9 competition Year 7/8 Female Year 5 competition Year 10 Male Year 9/10 Female Year 6 competition Year 11/12 Male Year 11/12 Female Year 7 competition
Home Team
Away Team
Proposed change
What changes are you proposing to the above fixture?

What changes are you proposing to the above fixture? Change of date Change of time Change of ground
Proposed new fixture date Proposed new fixture date / DD / MM YYYY
Proposed new fixture time Proposed new fixture time : HH MM AM/PM
Proposed change to Ground (if required)
Reason for fixture change request

Reason for fixture change request Boarders Unavailable Game Day Swap (Friday/Sunday/Mid Week) Ground Unavailable Ground Damaged Incorrect Oval Selected Special Club Event Other Other
Please advise any relevant information.
Opposition Agreeance

Clubs are required to seek opposition agreeance prior to submitting this form. Your request will not be considered if this has not been done.
Have you spoken to the opposition regarding the requested change to fixture?

Have you spoken to the opposition regarding the requested change to fixture? Yes, spoken to a Club representative Yes, spoke to a Team representative No
Name of Opposition Official spoken to Name of Opposition Official spoken to First Last
Role of Opposition Official spoken to

Role of Opposition Official spoken to Team Coach Club Registrar Team Manager Club President Other Other
Details of Club Official making request
Full Name Full Name First Last
Club Association
Role

Role Club Registrar Club Vice President Club President Other Other
Contact email
Contact number

By ticking this box, I agree to the following Fixture Change conditions:

1.	I am a Club Committee Member who is authorised to make this request. (Requests from Coaches/Team Managers will not be actioned - Please go through your Club Representative)
2.	Clubs are required to seek opposition agreeance prior to submitting this form. Your request will not be considered if this has not been done.
3.	Changes requests due to team trips, or conflicting fixtures for Other Sports, will not be considered.

I Agree

2024 Metro North Application to Change Fixture

2024 Metro North Application to Change Fixture

Current Fixture Information

Proposed change

Opposition Agreeance

Details of Club Official making request

By ticking this box, I agree to the following Fixture Change conditions: