Age Exception form

2015 BOYS & GIRLS BASKETBALL AGE EXCEPTION FORM
This form must be completed and attached to the player’s birth
certificate and last report card the player received.
A team may have up to three players submit an age exception form. A player
may only be one year older than the required age for the division. See chart
below for specific age and grade requirements:
BOYS & GIRLS BASKETBALL
Age Group
Birthdate
10U/4th grade Born September 1, 2004 or after
11U/5th grade Born September 1, 2003 or after
12U/6th grade Born September 1, 2002 or after
13U/7th grade Born September 1, 2001 or after
14U/8th grade Born September 1, 2000 or after
15U/HS JV
Born September 1, 1999 or after
16U/HS JV
Born September 1, 1998 or after
17U/Varsity
Born September 1, 1997 or after
18U/Varsity
Born September 1, 1996 or after
The Age Determining Date is September 1st, 2014.
Grade Exception
or in the 4th Grade born September 1, 2003 or after
or in the 5th Grade born September 1, 2002 or after
or in the 6th Grade born September 1, 2001 or after
or in the 7th Grade born September 1, 2000 or after
or in the 8th Grade born September 1, 1999 or after
or in the 9th Grade born September 1, 1998 or after
or in the 10th Grade born September 1, 1997 or after
or in the 11th Grade born September 1, 1996 or after
or in the 12th Grade born September 1, 1995 or after
NOTE: All information is necessary for proper identification. This form must be received prior to
the beginning of the tournament. Player will be rejected if information is incomplete. Team
Manager will be contacted once player is approved.
TEAM NAME:
AGE DIVISION:
____________
PLAYER NAME:
PLAYER’S BIRTHDATE:
PLAYER’S GRADE 2014/2015:
PLAYER’S ADDRESS:
PLAYER’S PHONE #:
EMAIL:
SCHOOL ATTENDING:
______
SCHOOL ADDRESS:
______
SCHOOL PHONE #:
______
Please sign below to certify that all of the above information is correct.
Parent/Guardian Signature
Date
Please send this form to Chris Felix by Monday, June 29, 2015 in order to be accepted.
Email: [email protected]
Fax:619-223-2242