Tier II Exemption Form

Exemption request to participate in the "B" division of the Tier II Illinois State Hockey Championships or "AA" requesting to play "A" exemption.

Member Organization:*

Team ILH Number:*

USA Hockey Public Roster Link* Paste the link to your team's official USA Hockey Roster.

What regular season league did your team play in?*

What is the team's record on the season?* Format as: W / L / T / OTL

How many teams are playing at your level from your organization?*

How many players on your team were with your organization last season versus new to the organization* Format as: Existing / New

How many Major/Minor Players are on the team?* Format as: Major / Minor

Why should your team be considered for an exemption?*

Exemption Requested* Based on the Standardized Team Placement Rule for Tier II Illinois State Hockey Championships, "AA" teams can apply to play "A," and "A" teams can apply to play "B."

Team Representative's Name*

Team Representative's Phone Number*

Tier II Exemption Form

Confirmation