Application To Be Over Age Playing J3 Division
Note:
This form is to apply for dispensation from Rule 5.6(d) in the Rules of Play
Club
Name of Player
Male
1.
Female
2.
Date of Birth
New To Sport
1.
Has disabilities that preclude playing in a higher division
2.
Provide details
Other Reasons
3.
Provide details
Authorised Club Delegate
Position
Date
Action - SCHA Office Only
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