2020 Eastwood District Junior Rugby Union Dispensation to Trial Form
Players who are unable to trial on an Eastwood Representative Team Selection trial date, due to travel, school commitments, injury or illness must complete a Dispensation to Trial form.

Applications for dispensation for travel or school commitments close at 5pm on Sunday March 21st for all age groups.

Applications due to illness or injury close at 5pm the day prior to the Selection Trial.


Once finished please submit this form. No late applications will be accepted. Players will be notified via email if their dispensation has been granted. Please ensure you are aware of the Dispensation Guidelines and conditions in the EDJRU Player Application google form.
Player Name *
Player Date of Birth (DOB) *
MM
/
DD
/
YYYY
Age group trialling for *
Village Club *
Village Club Coach Name
Village Club Coach Email/Mobile
Has the Player Application form been submitted? *
Parent Name *
Parent Email *
Parent Mobile *
What Trial(s) is your son unable to attend *
Required
Please indicate below the reason the player is applying for dispensation: *
Please indicate below what evidence (e.g. Doctors certificate or letter from school) will accompany the form. All players must supply documentation to support their dispensation request (This documentation can be emailed to eastwoodjuniorsrugby@gmail.com after this form has been submitted) *
Submit
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Privacy Policy