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

2026 Hockey Australia National Championships Player Clearance Form (Attachment F - RECEIVING OR REQUESTING A PLAYER)
Name

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

DayMonthYear
2 digit day, 2 digit month, 4 digit yearDate
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
2 digit day, 2 digit month, 4 digit yearDate
Should be Empty:

2026 Hockey Australia National Championships Player Clearance Form (Attachment F - RECEIVING OR REQUESTING A PLAYER)