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2023/24 Summer Masters Dispensation Request
Please use this form to submit a dispensation request for Senior or Youth players.
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Email
*
Your email
Team Requesting Dispensation
*
Choose
Allsorts Men
All Sorts Women
Chickstix
Counties
Cowboys & Indians
Deep Heats
Froggies
Green Machine
Here for the Beersies
Men at Work
Misfits
Mt Eden Masters
NZ Punjabi Hockey
Pink Ladies
Purple Team
Roskill Eden Men
Shirl's Girls
Slack Sticks
Somerville Centurions
The Bumla Brothers
The Not So Invincible's
Wanderers
Western Grey
Western Red
Western White
Westie Rettas
HPHC Masters
Name of Team Manager submitting request.
*
Your answer
Contact Email 1.
*
Primary contact for this request
Your answer
Name of Player requiring dispensation.
*
Your answer
Date of Birth of the Player Requesting dispensation.
*
MM
/
DD
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YYYY
Winter Team and Grade of the Player Requesting Dispensation.
*
Your answer
Grades Affected
*
Masters Men
Masters Women
Required
Male or Female
*
Male
Female
Dispensation Request
*
Please explain why dispensation is required.
Your answer
How many players does your team have without this dispensation?
*
Your answer
When do you require a response to this request.
*
As much notice as possible, preferably 2 weeks minimum, is required so that we can contact Competition Manager for approval.
MM
/
DD
/
YYYY
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