QNA Netball - Exemption Request Form
Use this form to request an exemption from attending netball trials. Please provide all required details and any supporting documentation.
Athlete Full Name
*
First Name
Last Name
Contact Phone Number
*
-
Area Code
Phone Number
Contact Email Address
*
example@example.com
Team Requesting Exemption From
*
Please Select
U11
U12
U13
U14
U15
U17
Open's
Regional League
State League
Date that you are unavailable from?
/
Day
/
Month
Year
Date
Date unavailable to?
/
Day
/
Month
Year
Date
Reason for Exemption
*
Not available on trial date (provide supporting information below)
Medical / Injury
Upload Supporting Documentation (required if Medical / Injury selected)
Upload a File
Drag and drop files here
Choose a file
Cancel
of
Additional comments to support your request (optional)
Your request has been forwarded to the QNA Coaching Coordinator. You will receive an email advising whether your request has been approved or declined before the trials commence. Thank you
Submit Exemption Request
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