<p> INDIVIDUAL PLAYING OUT OF AGE GRADE (UP OR DOWN)</p><p>Note: PLEASE SEE RFU REGULATION 15 AND NLD PRACTICE NOTE DATED 17 SEPTEMBER 2013 RELATING TO THE PROCESS THAT APPLIES TO AUTHORISATION. </p><p>In Youth Rugby the decision to allow a young person to play out of age grade lies with the person in the best position to assess all the relevant circumstances.</p><p>Full Name:</p><p>Age: Date of Birth: ___/ ___ / _____</p><p>Chronological Age Grade: Proposed Age Grade:</p><p>(If adult rugby state “ADULT”) Playing Position:</p><p>Reason to play the player out of Age Grade:</p><p>Proposed by (Signature)</p><p>Name and role in relation to the player: Declaration: 1. We certify that all the information on this form is correct and agree to play the above player out of age grade in line with the Schools & Youth Regulations and NLD Guidance note dated 17 September 2013. 2. We accept that the ultimate consideration must be for the welfare and safety of the player and those with whom he will be playing. 3. We confirm that there has and will be clear communication with all those involved in and affected by the decision. 4. We have taken or will take into consideration the following aspect when making the decision: i. The physical development of the individual and his playing colleagues ii. The skill level and experience of the individual iii. The individual’s playing position in the team iv. The competitive standard of the particular match and playing conditions</p><p>Parent / Guardian Club Safeguarding Officer Club Mini / Junior Chair Date: Date: Date: Instructions</p><p>Playing Down</p><p>Submit form to NLD Office for authorisation. Once authorised copy received, retain for club audit purposes.</p><p>Playing Up</p><p>Complete this form and send copy to NLD Office for maintenance of central register. Retain original for club audit purposes. </p><p>NLD Office</p><p>Post Or email Nicole Brown [email protected] 38 Northgate Newark Notts NG24 1EZ</p><p>NLD U13-19 Competitions</p><p>It should be noted that the NLD Junior Competitions Committee have decided that no over age players will be allowed to play in any NLD competition during the course of the coming season.</p><p>NLD Authorisation</p><p>We authorise the player named overleaf to play down at age grade U...... level for season ...... </p><p>...... CB Safeguarding Manager – Name & Signature</p><p>………………………………………………………………………………….. CB Honorary Secretary – Name & Signature</p><p>Date ...... </p>