Rep Team Nominations
This form is required to be completed for all players, coaches and team managers wishing to nominate for a SAUCNA Representative team.

Nominations close Wednesday 10th March 2021. No late nominations will be accepted.

Trials will be held on Mon 22nd and Mon 29th March from 7-9pm.

Payment of $10 non-refundable nomination fee is required and the receipt number MUST be added to this form.
Email address *
Nomination Type (age as at first day of carnival) *
First Name *
Last Name *
Parent/Guardian Name *
Date of Birth *
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SAUCNA Club *
Nominee Mobile Phone Number *
Parent Mobile Number
Nominee Email address *
Parent Email address
Preferred Position 1 (player only) *
Preferred Position 2 *
Payment Receipt Number *
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