Team Nomination Form

Section 1: Team Name and Contacts

Team Name

First Contact(Required)

Address

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code

Telephone (Home)

Telephone (Mobile)

Email(Required)

Section 2: Please tick desired sport

Please Tick Desired Sport

Monday Evening Indoor Futsal

Thursday Evening Ladies Netball

Section 3: Playing History (if applicable)

Stadium Where Previously Played

Division

Previous Team Name

When

Section 4: Grade (Please note: Not all competitions are graded)

Preferred Grade

Section 5: Player Registration

Player Registration

First Name

Last Name

Phone

Please note at least 4 contact numbers must be given. Incomplete registration forms will not be processed.

Section 6: Uniform Details

Basketball: *All teams must have matching colour shirts with numbers clearly shown on the back.

Shirt Colour

WARNING: A FEE OF $60 APPLIES TO ANY TEAMS THAT WITHDRAW THROUGHOUT THE SEASON OF COMPETITION.

Section 7: Team Declaration

Team Captain

Date

Additional Notes

Please use for game time specifics, or any other requests. Please note that management will deem wether requests are able to be met or not.

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Team Nomination Form

Section 1: Team Name and Contacts

Section 2: Please tick desired sport

Section 3: Playing History (if applicable)

Section 4: Grade (Please note: Not all competitions are graded)

Section 5: Player Registration

Section 6: Uniform Details

Section 7: Team Declaration

CONTACT

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