Nomination to International Events
Please complete this form if you are nominating for an international selection event.

COMMITMENT TO FENCE
By nominating myself for the events below I undertake to fence in the event, if I am selected.

Deposit
I undertake to pay Fencing New Zealand a deposit of One Hundred and Fifty dollars ($150.00) in support of my nomination. A separate payment of $150 is required for each tournament. I acknowledge that the deposit may be used by Fencing New Zealand to defray some of the costs associated with my participation, including an administration fee of $50 and a team participation fee of $50 payable to Fencing NZ if I am selected for any Team Event. In the event that I am selected and do not participate for any reason, the deposit will not be refunded. Nomination fee will be refunded if not selected for tournament.

I understand that there may be additional costs incurred by Fencing New Zealand associated with my attendance and I (or my parents/ legal guardian if under 18 years old) undertake to pay these to Fencing New Zealand on request.

In the event that I am selected I will provide any additional information requested, and complete and sign the Code of Conduct.

If under 18 years of age, this form must also be acknowledged by a parent or legal guardian.

Payment of Deposit to Fencing New Zealand

By bank transfer to account 06-0565-0074568-00. Please reference your payment with your name.

Selection Criteria available here: https://www.fencing.org.nz/resources/documents/policies





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Email *
Name (as appears on Passport)
Date of birth
MM
/
DD
/
YYYY
Gender
Clear selection
Financial member of Fencing NZ
Clear selection
Coach name and CONFIRMATION of their agreement to this Nomination
I am a New Zealand Citizen
Clear selection
My address is
Mobile Phone number (include parent's number if under 18 years old
email address for communication (please include parents email address if under 18 years old)
International Nomination Event (Payment of Nomination Fee is applicable for each event)
Weapon
Age group (can select more than one)
Clear selection
Team Event - please confirm if you would like to be considered for Team Event (if selected you will be expected to participate)
Clear selection
Acknowledgement of parent - please confirm that a parent is aware and agrees to the terms and conditions of your nomination if you are under 18 years old
Notes (please specify competition if not listed above)
List your top 5 Results that you would like Selectors to consider.
A copy of your responses will be emailed to the address you provided.
Submit
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