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National Wheelchair Basketball Association Youth League 2012-2013 Prep League Player Exception Form The athletes eligible to play in the Prep League include the following: 1. All players 12 and under with physical disabilities meeting the requirements of the NWBA Youth League. 2. All players 13 and up (still in high school) with significant neurological (i.e. muscular dystrophy, cerebral palsy) and/or cognitive disabilities (i.e. cerebral palsy, traumatic brain injury, spina bifida with hydrocephalus/shunt malfunctions) which affect mobility, coordinated movement, strength, and endurance. These athletes will be reviewed by a selected committee of NWBA Youth League coaches and/or team representatives for eligibility. An athlete meeting these requirements cannot compete in any tournament in the Varsity League. At the start of the tournament, these players will be reviewed and have consent from at least 2 coaches to remain in the prep league. If you have an athlete that you feel meets these requirements (number 2 above), please fill out the following information and submit to the committee for review. Submitting a video of the player during a practice or game would be recommended. Player’s Name:____________________________________ Age:________________________ Team Name:________________________________________ Classification:______________ Disability:_____________________________________________________________________ Team Representative Name and Phone Number:____________________________________ Playing Ability (why are they not able to be competitive at the Junior 10’ level): ______________________________________________________________________________ ______________________________________________________________________________ ______________________________________________________________________________ ______________________________________________________________________________ ______________________________________________________________________________ ______________________________________________________________________________ ______________________________________________________________________________ Please complete and submit form to: Diane Winterstein Email: [email protected] or [email protected] Fax: (586) 276-4064 Phone: (586) 446-2708 Address: City of Sterling Heights Special Recreation P.O. Box 8009 Sterling Heights, MI 48311-8009

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Jr. Division Prep Exemption Form

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Page 1: Prep Exemption Form

National Wheelchair Basketball Association

Youth League 2012-2013

Prep League Player Exception Form

The athletes eligible to play in the Prep League include the following:

1. All players 12 and under with physical disabilities meeting the requirements of the NWBA

Youth League.

2. All players 13 and up (still in high school) with significant neurological (i.e. muscular

dystrophy, cerebral palsy) and/or cognitive disabilities (i.e. cerebral palsy, traumatic brain

injury, spina bifida with hydrocephalus/shunt malfunctions) which affect mobility,

coordinated movement, strength, and endurance.

These athletes will be reviewed by a selected committee of NWBA Youth League

coaches and/or team representatives for eligibility.

An athlete meeting these requirements cannot compete in any tournament in the

Varsity League.

At the start of the tournament, these players will be reviewed and have consent from

at least 2 coaches to remain in the prep league.

If you have an athlete that you feel meets these requirements (number 2 above), please fill out the

following information and submit to the committee for review. Submitting a video of the player

during a practice or game would be recommended.

Player’s Name:____________________________________ Age:________________________

Team Name:________________________________________

Classification:______________

Disability:_____________________________________________________________________

Team Representative Name and Phone Number:____________________________________

Playing Ability (why are they not able to be competitive at the Junior 10’ level):

______________________________________________________________________________

______________________________________________________________________________

______________________________________________________________________________

______________________________________________________________________________

______________________________________________________________________________

______________________________________________________________________________

______________________________________________________________________________

Please complete and submit form to:

Diane Winterstein

Email: [email protected] or [email protected]

Fax: (586) 276-4064 Phone: (586) 446-2708

Address: City of Sterling Heights

Special Recreation

P.O. Box 8009

Sterling Heights, MI 48311-8009

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