PLAYER APPLICATION				FORM A

PLAYER		
		
D.O.B.		
		
CLUB		
		
ELIGIBLE COMPETITION	Junior 	
	MIDWEST SOCCER ASSOCIATION	
REQUESTED COMPETITION	MEN’S COMPETITION	

On behalf of my child, I wish to make application for him / her to participate at the nominated level of competition.

In making this application, I acknowledge my child will be independently assessed against guidelines to compete at this level of competition.

I acknowledge that any decision made by Football West or the Regional Development Officer in respect of this application is final and binding.

I also agree to indemnify and keep indemnified Football West and Midwest Soccer Association of any legal proceedings in the event of injury in playing in the nominated level of competition without consent from Football West, and that Football West would be within its right to cancel the player’s registration and insurance cover.

Parent / Guardian

Name:		
		
Signed:		
		
Date:		

ASSESSOR’S DECISION				FORM B

PLAYER		
		
D.O.B.		
		
CLUB		
		
REQUESTED COMPETITION	MSA Men’s Competition	

I have been requested to pass opinion on the above player’s suitability to participate in a competition 2 or more years above their actual age division and/or a Senior Competition. 

After considering the application material, the player against the Assessment Guidelines, including witnessing the player performing in activities at their current level, it is my considered opinion that the player:

	Is not competent to perform at the level that has been requested.			
				
	Is not competent to perform at the level that has been requested, however; 			
	is competent to perform at a maximum of 		level of competition.	
				
	Is competent to perform at the level that has been requested.			

Reasons for Decision

	

Assessor:

Full Name:	
Carlo Licastro	

Position:	
MSA Appointed Assessor	

Signed:		

Date: 		

Endorsement
This decision is endorsed by me, Mauro Amazzini MSA Competition Manager
			
		Signature							Date
Assessment Guidelines

There are several areas that an Assessor should examine when considering a player’s potential for playing in a competition that falls outside of their eligible age group. 

These are, but not limited to:

	Performance

•	Performances at current level.
•	Past performances as a Regional or State representative player (if applicable).
•	Performances in local/regional events.

Fitness and Athletic Ability

Physical capacities are considered including aerobic capacity, speed, strength and agility (as observed in training practices and games).
	
Technical Competence

Core skills for out field players include receiving, striking, heading, dribbling, tackling and defending. Core skills for goalkeepers include basic technique (handling), shot stopping, dealing with crosses, agility and distribution.

Tactical Ability
	
•	The ability to read the game.
•	A credible involvement in the game.
•	The player exhibits sound decision-making ability.
•	Flexibility in positional play.

Potential to Improve

Consideration of a number of factors, not least of which is ‘will the player’s involvement at the new level have the potential to develop their physical and athletic ability, their technical competence and their tactical awareness.’ In other words is the request made for the player’s benefit or simply to help the club field a team? 

Competitive Ability

•	A general assessment of the player’s resilience.
•	The player’s strength, temperament, determination, and commitment.
•	The player’s ability to perform in adverse conditions.
•	Their attitude to coping with setbacks and criticism.
•	The player’s general ability to persist.