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Details

2027 State Trials Exemption Form

Sat 01 Aug 2026 09:00 - Thu 31 Dec 2026 09:00

Hockey Tasmania

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Basic details

First name*

Last name*

Phone number*

Email address*

Address*

Additional information

Player Name*

Gender*

Which team are you nominating for?*

Contact email (this will be used for correspondence)*

Reason for Exemption* Max 255 characters

If your reason is due to injury/medical, please upload a medical certificate

Choose file...

Max 5MB

What is your primary playing position?*

Please note

All prices are inclusive of GST.

I am over 18, or, if I am under 18, this registration has been filled out by and endorsed by my parent or guardian.*

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