Defibrillator Application
The 2018 Marc Arcuri Cup saw us more than $100,000 – a staggering amount which is more than our three previous Cups combined. We’ll be donating 50 defibrillators ahead of the 2019 season in partnership with our friends at the Royal Life Saving Society of NSW. Applications are open to all community football and sporting clubs in NSW.


Complete the form by Monday 4 March for a chance to secure a defibrillator for your club.

Email address *
Sport *
Your answer
Club Name *
Your answer
Association *
Your answer
Club Address *
Your answer
What is the age range of players at your club? *
Your answer
Number of registered players *
Your answer
Contact Name *
Your answer
Contact Number *
Your answer
Did anyone associated with your club participate in the 2018 Marc Arcuri Cup? If so, who and how? *
Your answer
Does your club currently have a defibrillator installed? *
Your answer
Are you willing to cover the future maintenance costs such as battery and pad replacement? *
Your answer
Please tell us why your club should receive a defibrillator. *
Your answer
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