PENRITH DISTRICT NETBALL ASSOCIATION INC 2018 REPRESENTATIVE SELECTIONS 11 Years Development Squad
This form is a NOMINATION for the 2018 Penrith District Netball Association 11 Years Development Squad Selections be held on Sunday 13th August and 20th August, 2017. Arrival 8:30am for 9:00am start.

One form is to be completed per child wishing to nominate and complete the form by clicking SUBMIT at the end.
All selections are final, no correspondence will be entered into.

By completing this online nomination form, I as parent/guardian have read and understood the PDNA Conditions of Selections located on the PDNA website and do undertake to abide by these conditions www.penrithna.nsw.netball.com.au

Player's First Name
Your answer
Player's Surname
Your answer
Player's DOB - Players eligible to attend the 11 Years representative trials MUST be born in 2007
MM
/
DD
/
YYYY
Player's Medical Conditions - Please be specific in case of a medical crisis or treatment being necessary at trials
Your answer
Has the nominated player been in hospital recently? (within the last 2 months)
Required
Player's Address
Your answer
Parent/Guardian Name
Your answer
Parent/Guardian Email
Your answer
Parent/Guardian Mobile Number
Your answer
Are you currently registered in the PDNA Winter Competition
Required
Player's Club
Your answer
Player's Team Name
Your answer
Player's Team Grade
eg. 10B
Your answer
Player's First (1st) Preferred Position
Player's Second (2nd) Preferred Position
Parental/ Guardian Consent
Required
Submit
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