Nomination Form 2021

Players who are wishing to nominate for grading are required to complete this nomination form. 
If you have any questions please call Riley Martyn on 0467 597 767

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* 1. Players First Name

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* 2. Players Family Name

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* 3. DOB

Date

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* 4. Contact Details

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* 5. In 2021 what Age Group do you want to play for?

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* 6. What is your 1st preferred position that you wish to trial for?

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* 7. What is your 2nd preferred position that you wish to trial for?

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* 8. What is your 3nd preferred position that you wish to trial for?

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* 9. In 2020 what Club Team did you play for?

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* 10. What School will you be at in 2021?

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* 11. Did you play any representative rugby in 2020? If yes please list below.

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* 12. Please list any other sporting commitments you will have in 2021

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