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2025/26 Summer Masters Dispensation Request
Please use this form to submit a dispensation request for Masters players.
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Email
*
Your email
Team Requesting Dispensation
*
Choose
Bumla Brothers
Allsorts Men
All Sorts Women
Centurions
Chickstix
Counties
Cowboys & Indians
Honey Badgers
Froggies
Somerville Wannabes
Here for the Beersies
Men at Work
Misfits
Pink Ladies
Purple Team
Roskill Super Greys
Slack Sticks
The Bumla Brothers
Not so Good
The Westies
Wanderers
Western Red
Western White
Roskill Greys
NZ Punjabi Hockey
Name of Team Manager submitting request.
*
Your answer
Contact Email 1.
*
Primary contact for this request
Your answer
Name of Player requiring dispensation.
*
Your answer
Date of Birth of the Player Requesting dispensation.
*
MM
/
DD
/
YYYY
Winter Team and Grade of the Player Requesting Dispensation.
*
Your answer
Grades Affected
*
Masters Competitive Men
Masters Social Men
Masters Women
Required
Male or Female
*
Male
Female
Dispensation Request
*
Please explain why dispensation is required.
Your answer
How many players does your team have without this dispensation?
*
Your answer
When do you require a response to this request.
*
As much notice as possible, preferably 2 weeks minimum, is required so that we can contact Competition Manager for approval.
MM
/
DD
/
YYYY
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