WA Ultimate Under-18 State Team : Expression of Interest 2017
This form is for those whom are under the age of 18 years old, who are interested in attending the 2017 Australian Youth Ultimate Championships in Melbourne, Victoria on 7-9 July 2017.

Eligible players must be born AFTER January 1, 1999.

The teams that participate at Youth Nationals will be representative teams; each team will represent a state or territory of Australia. Western Australia will be selecting a Boys and Girls Team for the championships.

SELECTONS!
WHO: YOU!
WHEN: Saturday May 6th 2017 - 9:00AM - 12:00PM
WHAT: Try outs for the 2017 Under-18 State Ultimate Teams!
WHERE: Yokine Reserve, Wordsworth Avenue, Yokine WA 6060.
COST: FREE

What to bring:
A Light (white) Shirt and a Dark (Black) shirt
Wear appropriate running attire
Water bottles
A Hat
Appropriate Footwear.

The selected teams will compete at the Australian Youth Ultimate Championships in a state representative structure for players 18 years of age and younger.
Where: Melbourne, Victoria.
When: July 7-9, 2017
Format: Separate Gender; U18 Boys Division and U18 Girls Division.

If you have any questions please email youth@waultimate.com

First Name?
Your answer
Surname?
Your answer
Gender
What is your date of birth?
To be eligible must be born AFTER 1 January 1999
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What is your email address?
Your answer
What is your contact number?
Your answer
Parent or Guardians name?
Your answer
Parent or Guardians contact number?
Your answer
Parent or Guardians Email address?
So that they may be kept informed as well
Your answer
What suburb do you live in?
Your answer
Are you able to attend the SELECTION EVENT on the 6th of May 2017?
Can't make selections? Don't stress, we will forward this information to the coach and they will contact you, to talk about the team and selections :)
If 'No' or 'Unsure' please explain why
Your answer
Are you available to compete in the Australian Youth Ultimate Championships in Melbourne on the 7th, 8th & 9th of July 2017?
How long have you been playing Ultimate?
Never? Only at high school? .. Not a problem! Just Include any other relevent information that you can think of..
Your answer
Have you liked our Facebook Page - Youth Ultimate WA.
Submit
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