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2017 Senior Representative Nomination Form
All players are to be registered players of Charlestown Netball Association.
All selected players and parents/guardians of players agree to pay all expenses as set out by Charlestown Netball Association.
Players agree to attend all training, carnival and championships as set out by Charlestown Netball Association.
All nominations are accepted on the understanding that the player has no outstanding debt with the Association or affiliated clubs.

Both players and parents/guardians are asked to please read carefully the conditions of selection before completing this player’s online nomination form. By completing the nomination form parent/guardian and players are acknowledging the Charlestown Netball Association rules set down therein, the Netball NSW's Codes of Conduct and agreeing to abide by them throughout the representative season.

If you are unable to attend the trials you will need to complete this form and indicate why in the appropriate box below, if injured please attend the selections and bring a Medical Certificate.

ALL SELECTIONS ARE FINAL - NO CORRESPONDENCE WILL BE ENTERED INTO

Full Name *
Your answer
Street *
Your answer
Town *
Your answer
PostCode *
Your answer
Player's Date of Birth *
MM
/
DD
/
YYYY
Home Phone Number *
Your answer
Player's Mobile Number *
Your answer
Player's Email Address *
Your answer
Parent Name *
Your answer
Parent's Mobile *
Your answer
Parent's Email Address *
Your answer
Association *
Your answer
Previous Playing Experience (last two season's - eg State Age/Academy/Association) *
Your answer
Age Group Trialing *
Nominated Playing Position 1 *
Your answer
Nominated Playing Position 2 *
Your answer
If unable to attend trial, please state why.
Your answer
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