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Complete form
NWSHA Rep Trial Exemption Form
Please complete this form if you are unable to attend a NWSHA trial.
Select your age range*
Please select...
0-17
18-25
26-34
35-44
45-54
55-64
65-74
75+
Select your gender identity*
Male
Female
Non-Binary
Differently identify
Enter your post code*
Enter your email address*
What is the athlete's name who will miss trials?*
What age group will the athlete miss trials for?*
What club team does the athlete play for?*
Has the athlete represented NWSHA in the past?*
Please select...
Yes
No
Please list all trial dates that the athlete will be unavailable.*
Please provide a reason for missing trials*
Please list any relevant past experience which will assist the selection panel*
Submit response
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