Playing in Higher Age Group Application

Playing in Higher Age Group Application

This form is not required to be completed if the player is currently playing in their current age group. Please refer to the By-Laws available at www.launceston.basketball

A parent/guardian of the athlete must support this request
Parent/guardian and club executive cannot be the same person

The by-laws can be reviewed on the website under "Inside LBA"

Athlete Name

Athlete Club

Buckby Saints

City of Launceston

Japara

South East Launceston Devils

Southside Rebels

Westside Trojans

Baptist

Current Age Group

Under 10

Under 12

Under 14

Under 16

Under 18

Under 20

Proposed Age Group

Under 12

Under 14

Under 16

Under 18

Under 20

Reason for Request

Name of Parent/Guardian Requesting

Parent/Guardian Phone Number

Parent/Guardian Email

Name of Club Executive Submitting Request

Signature of Club Delegate

Verification

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