Albury Cougars Exemption Request Form
Please use this form to suibmit an exemption request for any Albury Cougars policy
Athletes Name
*
First Name
Last Name
E-mail
*
example@example.com
Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
Which Squad is this relevant to
*
Please Select
12 Boys
12 Girls
14 Boys
14 Girls
16 Boys
16 Girls
18 Boys
18 Girls
Please provide details of your request including any relevant dates
*
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