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Notification of Fixture Changes

To request a change to a fixture, you first MUST gain approval for the change from your opponents (coach and or manager) and seven (7) clear days must exist between the date this form is submitted and the date the fixture is being shifted to before you can submit this form. Any requests that do NOT fit this criteria will NOT be actioned.

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Home Team:*

Away Team:*

Grade* Premier Mens Premier Womens Premier Development Division 1 Division 2 Senior Reserves 1st XV 2nd XV 3rd XV 4th XV U16 U15 U14 U13 U12 U11

Original Details

Date of Game:*

Venue:*

Time:*

Change(s) to Fixture

Select all that apply:

Venue

Date

Time

Default

Other:

Reason for Change:*

New Details

Date of Game:

Venue:

Time:

Your Club/School

Contact Name:*

Club/School Position:

Phone:

Email:*

Please check your email address for errors

Opposition Notified

Contact Name:

Club/School Position:

Phone:

Email:

Please check your email address for errors

By ticking this box I agree that I have contacted our opponents involved in this fixture and they have agreed to the changes as stated above

Thank you. Your changes have been sent and will be updated.

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