EmailMeForm
Mandurah NAIDOC - Age Exemption Request
This is a request form for an exemption to play in an age division for which the player is not eligible.
Please include reasons why this player should be eligible for this team.
Association/Club/Team/Grassroots Site Details
Team/Club Name
*
Primary Contact Details
Name
First
Last
Mobile
Email
Communication will be sent to this email address
Players Details
Name
*
First
Last
Date of Birth
*
DD
/
MM
/
YYYY
Current - Division / Age division
*
Please select
Woolworths SetGo (girls/boys)
12 & Under (girls/boys)
14 & Under
16 & Under
Open - Women
Open - Mixed (Female/Male)
Requested - Division / Age division
*
Please select
Woolworths SetGo (girls/boys)
12 & Under (girls/boys)
14 & Under
16 & Under
18 & Under
Open - Women
Open - Mixed (Female/Male)
Reason for exemption to play in requested age group?
*
For any questions or support, please contact competitions@netballwa.com.au
