Event registration

Details

BHA Exemption Form

Wed 01 Jan 2025 9:00AM — Fri 31 Oct 2025 12:00AM

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Are you attending this event?

Yes No

Basic details

First name*

Last name*

Phone number*

Email address*

Address*

Additional information

Name of Player*

Preferred Contact Email Address*

Competition Age Group*

Club registered with*

Details/Reason for exemptiom*

Any additional supporting information Max 255 characters

Terms Of Registration

All players and/or registering or nominating for an event must be registered & financial with a BHA affiliated Club and registered & financial with the Brisbane Hockey Association and with Hockey Qld through revSport.

# I understand that Exemption Requests can be submitted 2 days prior to respective trials commencement.

# I understand that applications for Exemption from BHA Representative trials will not be accepted for consideration if ALL releveant information is not completed.

# I acknowledge that Applications for Exemptions submitted after the closing date may not be accepted. Supporting evidence should be included with the submission, and additional information may be requested.

# All information provided in this Application for Exemption is true and accurate and I understand that approval for Exemption is at the discretion of BHA Director of Representative Hockey.

I confirm that I have read the above Terms Of Registration in its entirety.*

I agree to the Terms Of Registration.*

I am over 18, or, if I am under 18, this registration has been filled out by and endorsed by my parent or guardian.*

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