LOA MATERNITY
PLEASE READ THEN ANSWER THE QUESTIONS AT THE BOTTOM
LOA request valid only when submitted before the beginning date of leave. Submit LOAs to Membership and Training committee heads either via this form, or use the links on the site to submit via email or to print and fill out a hard copy.

LOA requests are valid for up to 1 month; if your leave will be longer, you must notify membership and turn in an LOA form for every month, up to 90 days. If your leave is longer than 3 consecutive months, your membership may be revoked or it may change to non-competing membership status, depending upon the circumstances.

If your leave is longer than 90 days, you must notify Membership to discuss your circumstances. To maintain active member status on an LOA, you must make arrangements to get your dues paid on time and notify your committee of your plans. If you are a committee head, it is your responsibility to be sure you have appropriate coverage and that you communicate with the league who the temporary contact is and for how long.

Upon return to Hellgate Rollergirls’ (HGRG) from your LOA and if you continued to be an active member during your leave, the bouting eligibility guidelines are as follows:

If your LOA was 1 month or shorter, your eligibility to bout is up to your captains and coaches.

If your LOA is longer than 60 days, your eligibility to come back and participate in a bout will be evaluated by Training, Coaches, and Captains. They will take HGRG good standing rules and team drafting situation into consideration.

If your LOA is longer than 90 days, your membership may be revoked or it may change to non-competing membership status. Returning skaters under these circumstances will be placed in the new recruit process.

You can apply for exceptions through Training or Finance committees.

Full legal name. *
Your answer
Derby Name (or write "none"). *
Your answer
Beginning date of leave. *
MM
/
DD
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YYYY
Ending date of leave. *
Maternity leave can be for up to one year.
MM
/
DD
/
YYYY
What is your plan for paying dues? *
Your answer
In accordance with HGRG’s Membership Requirements relevant to the LOA above, I agree to continue to keep in good standing unless other arrangements have been made and approved by the appropriate committee head(s). *
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