WRAS 2018 netball squad - phase 1 trial
Sunday 27 August 2017 (Orange) OR Sunday 3 September 2017 (Dubbo).
Player nomination
Please select your 1st preference for date and location
First name
Your answer
Your answer
Date of birth
Your answer
ALL future correspondence will be sent to the email address you provide
Your answer
Town you live in
Your answer
Netball association you are registered with
Your answer
Your Netball NSW registration number
Your answer
Your height in cm
Your answer
What is your major netball achievement to date
Your answer
Playing position - 1st choice
Playing position - 2nd choice
Do you have any medical conditions that WRAS should be aware of?
If yes please provide details
Your answer
Declaration and Authority
I give permission to the Western Region Academy of Sport (WRAS) for my child/ward to be treated in the event of illness or accident. I also undertake to pay all costs (eg ambulance travel), medical fees and/or cost of necessary medication which may be incurred whilst my child/ward is in the care of the WRAS. I understand that I will be contacted as soon as possible should medical assistance be needed for my child/ward.
By ticking the box below you are accepting the terms stated in 'Declaration and Authority' above
Enrolments close on 10am Thursday 17 August 2017
The WRAS office must receive the nomination form and full payment by the closing date/time. Acceptance of nominations will be acknowledged by email. Please note no confirmations will be emailed before 17 July 2017.
Payment details
Direct Deposit is the preferred method of payment
Reliance Bank
Account Name: WRAS
BSB: 882 000
Account No: 300015812
Please include the name of your child/ward as the payment reference

If you do not use electronic banking please contact the WRAS office phone 6338 4821 or email tpallier@wras@csu.edu.au to discuss payment options to ensure you meet payment deadline.

Cancellation and Refund Policy
Cancellations must be advised in writing (email to tpallier@csu.edu.au).
* Cancellations received by the WRAS office before the closing date of 17 August 2017 will receive a full refund
* Cancellations received on or after the closing date of 17 August 2017 will incur a $20 administration fee
By ticking the box below you are agreeing to the 'Cancellation and Refund Policy' above
Name of parent/guardian
Your answer
Phone number of parent/guardian
Your answer
For further information
Please contact Tanya Pallier, WRAS Office Manager phone 6338 4821 or email tpallier@csu.edu.au (please note Tanya will be away from the WRAS office between 30 June and 17 July 2017 - enquiries will be answered after 17 July 2017)
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