2015 Tryout Registration Form
This is the registration form for players wishing to trial for 2015 Senior and U23 High Performance Programme. This programme is focused on identifying and developing talent for the 2017 World Cup. Players wanting to participate in this programme must be eligible to represent New Zealand. We welcome your questions, so if you do have any concerns or queries on age, eligibility or something else, these can be directed to High Performance Academy Director at jones_kari@hotmail.com.
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Personal Details
First Name *
Last Name *
Email Address *
Mobile Number *
Club Team / School Team *
New Zealand Passport Holder *
Date of Birth *
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Were you under 23 on August 31st 2014? *
Where do you live in New Zealand? *
Are you a registered member of the NZWLA? *
Availability
Note: There is an expectation that if you are selected then you will attend all programme training events.
Tryouts *
Are you available for trials on December 20th?
ANZAC *
Are you available for the tournament on April 25th-26th 2015 (ANZAC) ?
June Tour
Are you available for 3-5 day tour to Australia in early June?
Clear selection
Training *
Please indicate your ability to attend the following sessions:
Required
Lacrosse Experience
How many years have you been playing lacrosse? *
What is the highest level of lacrosse you have played? *
What is your primary lacrosse position? *
What is your dominate playing hand? *
Are you considering trialling for the 2017 Senior World Cup? *
Emergency Contact Details and Health Information
Please provide the name of your emergency contact *
What is your relationship to your emergency contact?
Clear selection
Please provide a home phone and mobile phone number for your emergency contact *
Do you have any allergies? If you do, please provide details below.   *
Do you have any health concerns that we should be aware of? *
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