TEAM NOMINATION FORM

Please Note:

1) To secure your team’s position a team nomination fee of $52.00 MUST be paid when submitting the Team Nomination Form.

2) A minimum of 7 x Player's per Team MUST be entered. We highly recommend 7-8 Players for a Season.

Only fully completed Team Nomination Forms will be accepted – Teams with only 1-5 players listed will be rejected.

Team Details

Team Name

Jersey Colour

Shorts Colour

Socks Colour

Team Co-ordinator Details

Team Coordinator Full Name

Team Coordinator Email

Team Coordinator Phone

Alternate Team Contact Details

Alternate Contact Name

Alternate Contact Email

Alternate Contact Phone

Player Details

Player 1 Full Name

Date of Birth dd/mm/yy

Email Address

Phone

Player 2 Full Name

Date of Birth dd/mm/yy

Email Address

Phone

Player 3 Full Name

Date of Birth dd/mm/yy

Email Address

Phone

Player 4 Full Name

Date of Birth dd/mm/yy

Email Address

Phone

Player 5 Full Name

Date of Birth dd/mm/yy

Email Address

Phone

Player 6 Full Name

Date of Birth dd/mm/yy

Email Address

Phone

Player 7 Full Name

Date of Birth dd/mm/yy

Email Address

Phone

Player 8 Full Name

Date of Birth dd/mm/yy

Email Address

Phone

Player 9 Full Name

Date of Birth dd/mm/yy

Email Address

Phone

Thanks for your nomination!