Dispensation Request
This form is required for players and coaches requesting a dispensation for not participating in an event where your attendance is required.
All dispensation requests must be submitted via this form. Verbal, email or any other format will not be approved for review.
This form must be submited PRIOR to the event commencement.
Forms received after the event will not be reviewed.
Once your form has been recieved, you will be contacted if we require further information from you.
All forms received will be reviewed by the Director of Rugby for appraisal and decision.
Are you a Coach, Player or Volunteer?
Coach
Player
Volunteer
Are you a NEW participant or RETURNING participant to Raptors?
New
Returning
First Name
Last Name
What is Player/Coach Date of Birth?
Please provide your best contact Email?
Please provide your best contact Phone Number?
Address
What Raptors event are your seeking a dispensation for your participation?
Trials
Training
Clinic
Function
Camp
Meeting
Rugby Expo/Induction
Please provide the name of the specific event, and the date and time of the event you cannot participate in?
What is the basis on why you cannot participate?
Injury
Clash of sporting committments
Overseas Travel
Family Committments
School committments
Please provide further explanation supporting the basis of why you cannot participate.
Do you have supporting documents, evidences or footage you would like to provide?
Yes
No
Upload IMAGE and/or VIDEO File
Select a File
Upload DOCUMENT File
Select a File
Is there anything else you would like us to know?
By checking this box, I confirm I understand that this application is not approved until I receive confirmation from the Director of Rugby confirming it is approved.
Submit
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