Magic Group Dispensation Request

1

Player Name* This field is required.

First Name

Last Name

2

Parent/ Guardian Contact Number* This field is required.

Area Code

Phone Number

3

Player Team (for the tournament)* This field is required.Please include age group and specific team names - eg, Magic Group U10 Gold

4

Player D.O.B.* This field is required.

Date

5

Player Height (cm)* This field is required.

6

Player Weight (kg)* This field is required.

7

Reason for dispensation request* This field is required.