2026 Hockey Australia National Championships Player Clearance Form (Attachment F 1 of 2))

2026 Hockey Australia National Championships Player Clearance Form (Attachment F)
Name*

First NameLast Name
Player Details
National ID Number*
As listed on Revolutionise Sport
Date of Birth*

DayMonthYear
Date
Email*
example@example.com
Home Member Association*

Clearance Application
ACCEPTING MA - Member Association receiving the imported player

NOMINATING MA - Member Association sending the player for import
Accepting MA Staff Name*
Accepting MA Staff Position*
Accepting MA Staff Email*
example@example.com
I hereby apply for a clearance FROM Hockey (State or Territory)*
to be a registered player WITH Hockey (State or Territory)*
For (name of) tournament & age division*
Year of National Championships*
Nominating MA Staff Email*
example@example.com
'Does the player have any existing Code of Conduct or Integrity matters currently in progress or outstanding (inclusive of any existing or pending sanctions)?' If yes, please outline these below.
Signature*
Date*

DayMonthYear
Date
Should be Empty:

2026 Hockey Australia National Championships Player Clearance Form (Attachment F)