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Exemption Application

* indicates a required answer.

Thank you for your consideration in our SCCHEA Warriors basketball program. 

Per our by-laws members must live in Saline County or submit an exemption application.

The exeption application must be completed by September 15th.

The exeption application will be reviewed by the Basketball Committe and a vote will be cast to allow or deny the team member from joining.

 

We hold our athletes and their parents to a high standard. 
Please review the following documents and ensure that you and your athlete(s) understand.

SCCHEA Statement of Faith

SCCHEA By Laws

Basketball Rules and Regulations

Basketball Code of Conduct

 

 

1. *

Parent's Name:

2. *

Email Address:

3. *

Phone Number:

4. *

Address:

5. *

County:

6. *

Please tell us why you would like to participate on the SCCHEA basketball team:

7. *

Athlete 1 Name:

8. *

Athlete 1 Date of Birth:

9.*

Athlete 1 Team they would like to play on:

10u 12u 14u 16u 18u
  Must Turn 11 years old before Sept 1st Must Turn 13 years old before Sept 1st Must Turn 15 years old before Sept 1st Must Turn 17 years old before Sept 1st
Cannot turn 11 years old before Sept 1st Cannot turn 13 years old before Sept 1st Cannot turn 15 years old before Sept 1st Cannot turn 17 years old before Sept 1st Cannot turn 19 years old before Sept 1st

Use your Ctrl & Shift keys to select multiples.
10.

Athlete 2 Name:

11.

Athlete 2 Date of Birth:

12.

Athlete 2 Team they would like to play on:


Use your Ctrl & Shift keys to select multiples.
13.

Athlete 3 Name:

14.

Athlete 3 Date of Birth:

15.

Athlete 3 Team they would like to play on:


Use your Ctrl & Shift keys to select multiples.
16. *

By signing with my full name and today's date I understand that this application is not approval. 
It will be reviewed by the Basketball Committee and voted on no later than September 22nd.
If you have any questions or concerns please contact Brad Daniel at braddaniel5@yahoo.com