Abala Rd, Marrara NT 0812 Territory Storm 2015 Athlete Nomination Form PO Box 2391 Parap NT 0804 Tel: 08 8945 1733 Fax: 08 8945 1433 office@netballnt.org.au www.nt.netball.com.au Nominations are being sought for athletes wishing to be considered for the 2015 Territory Storm ANL Team. Athlete selections will be conducted in accordance with the Netball NT Athlete Selection Policy. Nominating athletes are required to complete the following nomination form and return it to Netball NT by the close of nominations late nominations will not be accepted. 1. PERSONAL DETAILS Name and Surname Address Street or PO Suburb Contact Details Home Ph. Mobile Email Date of Birth Height 2. NEXT OF KIN Name Relationship Emergency Contact No. Postcode 3. NETBALL DETAILS District Club District Coach Coach Contact (email) Preferred Playing Position/s Highest Level Played in 2014 4. IMPORTANT INFORMATION All nominating athletes must fulfil the selection requirements identified in the Selection Requirements section of Netball NT Selection policy. Nominations will only be accepted if you are aged 16 years and over. Exemptions may be granted under exceptional circumstances and will only be considered if applied for in writing using the Application for Exemption Form. The dates for selection after receiving your nomination we will advise you of the selection dates. The Australia Netball League will commence on 19th June 2015 and concludes with the finals on 26th July 2015. Games will be held at various locations around Australia therefore athletes must be willing and able to travel interstate as the draw requires. Parents, relatives and friends are encouraged to attend as many games as possible however please note it is against Netball NT policy to use the same accommodation as the team. Attendance at selections is mandatory for all nominating athletes. Exemptions may be granted under exceptional circumstances and will only be considered if applied for in writing using the Netball NT Application for Exemption. Nominations close at 5:00pm on Friday 17th April 2015 and are to be returned by post, email or fax to: Stacey Carkeek, Operations Manager PO Box 2391 Parap NT 0804 Email: office@netballnt.org.au Fax: (08) 8945 1733 5. DECLARATION I hereby nominate for consideration in the 2015 Territory Storm ANL Team and I accept the above conditions and agree to be bound by the selection law and directions of the Board of Netball NT (Parent/Guardian signature required for players under the age of 18) Name Parent or Guardian Sign Sign Date Date
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