MATCH DEFERRMENT FORM
COMBINED BATHURST / ORANGE COMPETITION (2006/01)
I, , of
(Club Secretary of Team requesting the deferment) (Name of Club)
(Name of Team and Age Group)
WISH TO APPLY FOR THE APPROVAL TO DEFER THE FOLLOWING MATCH:
The reason for our Deferment request is due to:
Original Match Details:
COMMITTEE USE ONLY BENEATH THIS LINE
Approval BDS By & On
Approval ODSA By & On
New Match Details:
COPIES TO (Initial Receipt):
ODSA BDS REFEREES HOME SIDE AWAY SIDE
This form must be FULLY COMPLETED at least 7 days PRIOR to the original scheduled match.
Deferring a match may mean that home ground advantage will be lost.
Matches MUST and WILL be rescheduled within the constitutional 6 week allowed period.