JIMBOOMBA NETBALL ASSOCIATION
PLAYERS NOMINATION FORM
REPRESENTATIVE SEASON 2010
NAME: ___________________________________________________________________
ADDRESS:_________________________________________________________________
PHONE: (HOME) __________________________(MOB)____________________________
EMAIL: ___________________________________________________________________
DATE OF BIRTH: _______/________/_________
CLUB: __________________________________
AGE GROUP: (Please circle the appropriate age level)
T3 (State League) 16yrs 19yrs Seniors (18 & Over)
PREFERRED POSITIONS – Please list two (2) ___________ & ____________
PREVIOUS EXPERIENCE (If applicable):
________________________________________________________________________
________________________________________________________________________
________________________________________________________________________
SIGNED (Player): __________________________________________________________
SIGNED (Parent): __________________________________________________________
DATE:_______/________/_________
………………………………………………………………………………………………………………………………………………….
Please cut this bottom section off and keep it to remind you of the trial dates.
Trials will be held at Logan Metro Indoor Complex, Browns Plains Road, Marsden.
Saturday 28th November 2009 9.30am to 11.30am.
Please bring plenty of water.
Forms may be returned:
- In person
- or by email to admin@jimboombanetball.com.au
- or by post: Jimboomba Netball Association,
P.O. Box 298, Jimboomba Qld 4280.