REPRESENTATIVE TRIALS | EXEMPTION REQUEST

This form is to be submitted for any athlete that requires exemption from attending Hills Hornets Representative Trials.

Before submitting, please read the PLAYER SELECTION POLICY, EXEMPTION PROCEDURE within the Hornets Handbook - https://hillshornets.com.au/hornets/handbook/

Full Name (as per Basketball NSW or other state body Registration) Full Name (as per Basketball NSW or other state body Registration) First Last
Athletes Date of birth: Athletes Date of birth: / DD / MM YYYY
EMAIL ADDRESS
Date(s) unavailable to attend trial(s)
2024 HBA Local Competition Team Name
Grade
Have you played Representative Basketball for another Association. If yes, what Association and when (year)?
Are you trialing at another association?

Are you trialing at another association? Yes No
If Yes, please list association(s).
Please list your most recent (last 3 years) Basketball experience.

Please use one line for each season
Reason for exemption request. Must upload documentation to be considered for selection.

Reason for exemption request. Must upload documentation to be considered for selection. Injury / Illness Elite Sports Program / School Event Family Commitment (Wedding/Holiday) Other Other
Please upload a scan / picture or PDF of any supporting documentation, eg medical certificates, travel tickets / confirmations etc.

Attach Files