Permit Application
Please complete this form to request a permit. Permits must be submitted and approved prior to the player taking the field. Permits for finals must be submitted by 7pm on the Monday prior to the final series starting. Permits are assessed and approved/rejected according to current NDHA by-laws, please familiarise yourself with these rules before requesting a permit.
Club requesting permit
*
Dartmoor
Greenbottles
Kingston/Lucindale
Redlegs
Tatiara
Other
Request Date
*
-
Day
-
Month
Year
Date
Name of player requesting permit
*
First Name
Last Name
Player's Date of Birth
*
-
Day
-
Month
Year
Date
Reason for Permit
*
Play in another grade/competition (for any length of time)
Play in another grade/competition for finals only
Play in final series (has not met minimum game requirement)
Other
Player requests permit to participate in the following grade:
Under 9
Under 13
Under 16
Senior competition (junior member not yet 11 yrs)
Senior competition (for other reason)
Other
Additional information for consideration:
Registrar to seek approval from:
*
Club Junior Representatives (By-Law 12.9 - junior player/competition impacted)
Club Presidents (By-Law 14.5 - senior competition impacted)
NDHA Executive Committee (By-Law 12.4: player qualification for finals OR as an appeal to previously rejected permit application)
Name and position of Club Executive requesting permit
*
Name
Executive Position
Best email contact for requesting Club
*
example@example.com
Submit
Should be Empty: