little rock juniors age waiver application
LITTLE ROCK JUNIORS AGE WAIVER APPLICATION The Delta Region has the ability to grant age waivers to allow athletes who missed the birthday cut-off date of September 1, to play with their classmates. Age Waivers are only granted to allow players to play with their classmates and not granted for developmental purposes. Age Waivers are only valid within the Delta Region. Teams with an age waivered player who travel outside the Region must notify the tournament director and seek approval for the player to participate. Guidelines for the waivers include the following:
The Age Waiver Application must be completed by Club Director and approved by the Delta Region Commissioner. Age waivers may be voided due to false or misleading application. The Age Waiver Applicant may not participate in the Delta Region Bid Qualifier or any USAV National Event and may be prohibited from participating in any tournament outside of the Delta Region.
Please complete the following application entirely. If the age waiver is granted, it will only apply to DELTA REGION SANCTIONED TOURNAMENTS. This age waiver may not be allowed in tournaments outside of the Delta Region. If granted, the Delta Region Registrar will place the waivered player on the team roster. The waivered player will have a (-W) beside their name on their perspective team roster. Once a waiver has been granted, only the Delta Region Registrar may move the player on the Club’s team rosters.
AGE WAIVER EXAMPLE: GRADE IN SCHOOL 6th 7th 8th 9th 10th 11th
Waivered to AGE Division 12 13 14 15 16 17
AGE WAIVER APPLICATION
Applicants First Name: _______________________________
Last Name: ________________________________________
Applicants USAV Member ID Number: ____________________ Applicants Email: __________________________________ Applicant’s Birth date: ____/____/_______ School Attending: __________________________ Grade in School: ________
Print Parent Name: __________________________________________ Parent's Signature: ___________________________________________
A SEPARATE APPLICATION IS REQUIRED FOR EACH REQUEST. Please return to: Little Rock Juniors Volleyball Bring to your Tryout Session Email: [email protected]
OFFICE USE ONLY Accepted ___
_ Denied ______ Date ___________
The Age Waiver Application must be completed by Club Director and approved by the Delta Region Commissioner. Age waivers may be voided due to false or misleading application. The Age Waiver Applicant may not participate in the Delta Region Bid Qualifier or any USAV National Event and may be prohibited from participating in any tournament outside of the Delta Region.
Please complete the following application entirely. If the age waiver is granted, it will only apply to DELTA REGION SANCTIONED TOURNAMENTS. This age waiver may not be allowed in tournaments outside of the Delta Region. If granted, the Delta Region Registrar will place the waivered player on the team roster. The waivered player will have a (-W) beside their name on their perspective team roster. Once a waiver has been granted, only the Delta Region Registrar may move the player on the Club’s team rosters.
AGE WAIVER EXAMPLE: GRADE IN SCHOOL 6th 7th 8th 9th 10th 11th
Waivered to AGE Division 12 13 14 15 16 17
AGE WAIVER APPLICATION
Applicants First Name: _______________________________
Last Name: ________________________________________
Applicants USAV Member ID Number: ____________________ Applicants Email: __________________________________ Applicant’s Birth date: ____/____/_______ School Attending: __________________________ Grade in School: ________
Print Parent Name: __________________________________________ Parent's Signature: ___________________________________________
A SEPARATE APPLICATION IS REQUIRED FOR EACH REQUEST. Please return to: Little Rock Juniors Volleyball Bring to your Tryout Session Email: [email protected]
OFFICE USE ONLY Accepted ___
_ Denied ______ Date ___________
