Player Dispensation Request

Please complete this form if you are requesting a player dispensation for any of the North Harbour Hockey Association Competitions.

It is required by NHHA office that the secretary of your club must complete the from.

First Name *

Last Name *

Email Address *

Which Competition Is This Request Related To? *

Grade *

Playing Position *

Club *

Team name *

Date of Birth *

Reason for Dispensation - please provide as much rationale as you can. What efforts has the club taken to avoid the request and if a unique situation please explain. *

Has the secretary for your club completed the form? *

Signature

Comment

Player Dispensation Request

Need help? Contact our team for more information on (09) 972-0613 or

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