2025 First Nations Team Survey

1.PERSONAL DETAILS(Required.)

Full Name

Street Address

Suburb

Postcode

Date of Birth (DD/MM/YYYY)

Place of Birth

Current age (year & months)

Athlete Email Address

Athlete Mobile Number

Height (cm)

2.Are you of Aboriginal or Torres Strait Island descent?

Yes

3.NEXT OF KIN(Required.)

Full Name

Relationship to athlete

Parent/Guardian Phone Number

Parent/Guardian Email

4.MEDICAL INFORMATION(Required.)

Response

Do you have an existing medical condition?

Do you have any allergies?

Do you have any injuries?

If yes to any of the above please specify.

5.NETBALL DETAILS(Required.)

Association

Name of team played for in 2025

Name of competition and division played in 2025

Coach contact info (name, email, phone)

First preferred playing position

Second preferred playing position

Highest team and competition played in 2024

Highest netball achievement in 2024

6.DECLARATION
If for any reason you will and/or may not be available for the trial dates listed, please ensure that you complete and submit an Application for Exemption Form - CLICK HERE. Once an exemption request has been submitted, Netball ACT will be in contact via email to confirm the outcome of the request.
(Required.)

I have read and agree to the above information

2025 First Nations Team

Athlete Nomination Form