EmailMe Form - Badger Region Application for Age Waiver

Player Information

Please fill out the below information on the player receiving the age waiver

Player's Name *

First Last

Player's Birthday *

MM / DD / YYYY

Player's Club *

Team Name That Player Should Be Placed On *

Please list the team name as it appears in Webpoint

Player Uniform Number *

Player Proof of Birthday *

Passport, driver's license, birth certificate, etc.

Player Proof of Grade *

Report card, letter from school, school ID, etc.

Player's Parent/Guardian *

Club Information

The below information should be filled out by the person requesting the form. This person MUST be associated with the club, preferably the Director.

Name *

First Last

Email *

Age Waiver Policy *

Yes, I understand and agree

No, I do not understand and do not agree

According to Badger Region policy, an age waiver may only be requested IF the waiver would allow the player to compete an age level below with their peers of the same grade. Additionally, the age waiver will be approved ONLY for non-qualifying in-region events. The player will NOT be allowed to play in any USAV qualifiers. To play out of region, the club director must receive approval from the tournament director. The player and his/her family have been notified of this information.