I understand that applications for Exemption from BHA Representative trials will not be accepted for consideration if ALL information is not completed and submitted prior to the commencement of the event. 

I understand that Exemption Requests can be submitted up until 1 month prior to respective trials commencement. 

I acknowledge that Applications for Exemptions submitted after the closing date will not be accepted. If seeking exemption on medical/injury grounds, I understand that I must provide a medical certificate to Brisbane Hockey before the closing date for applications or my application will be deemed incomplete. 

I understand that should I be approved to trial outside my age group, I will not be allowed to play within my age group.

All information provided in this Application for Exemption is true and accurate and I understand that approval for Exemption is at the discretion of BHA Director of Representative Hockey.