Age Dispensation Application
A dispensation is given to a player to allow them to play in an age grade that they would not usually be able to play in because of their age and as per the Rugby Canada Age Banding Guidelines. For full details on Age Grade Rugby rules, visit www.saskrugby.com/agegraderugby
Name of Athlete
*
First Name
Last Name
Gender
*
Male
Female
Date of Birth
*
-
Month
-
Day
Year
Date
Application to Participate in
*
Adult Rugby
Higher Age Grade Rugby
Lower Age Grade Rugby
Will you play Front Row?
*
Yes
No
Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
Email
*
example@example.com
Club
*
Position
*
Weight (lbs)
*
Years Playing Rugby
*
Highest Level Played
*
Requested age grade/division
*
Name of Supervising Coach
*
First Name
Last Name
Appendix A: Written Confirmation from Coach (Max file size: 25MB)
*
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of
Appendix B: Written agreement of risk from player or parent/guardian (Max file size: 25MB)
*
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of
Appendix C: Written confirmation and agreement from a Medical practitioner (Max file size: 25MB)
*
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of
Submit Application
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