AUSTRALIAN EIGHT BALL FEDERATION INC
ABN 42 994 699 567
Australian Juniors Worlds 2022 Representative Form
PLEASE KINDLY SUBMIT THIS FORM TO YOUR TEAM MANAGER BY 13th August 2022
In order to complete the form you must have the below ready and available
*
Passport Details ( including copy or photo of passport )
Flight Details ( including copy or photo of itinerary )
Travel Insurance ( Including copy or photo of insurance )
Back
Next
Save
PLAYER DETAILS, ACCOMMODATION & TRAVEL
PLAYER DETAILS
Player Name:
*
First Name
Last Name
Age at Time of travel
*
Home Phone:
Work Phone:
Mobile Phone:
*
Email Adress:
*
example@example.com
Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Player Accommodation - Gleneagle
Room Type
*
Please Select
Single
Twin/Double
Triple
2 Bed Apartment
Person/s you are rooming with?
Check in date:
*
-
Day
-
Month
Year
Date Picker Icon
Check out date:
*
-
Day
-
Month
Year
Date Picker Icon
Total number of nights
*
Any Special Requests
*
PLAYER TRAVEL DETAILS
Outbound australia flight details only Do not include domestic flight within australia prior to the main outbound flight.
Departure City
*
Date
*
-
Day
-
Month
Year
Date Picker Icon
Time
*
Hour Minutes
AM
PM
AM/PM Option
Airline:
*
Flight No:
*
Connecting Flight Details
Departure City
*
Where are you leaving from?
Date
*
-
Day
-
Month
Year
Date Picker Icon
Time
*
Hour Minutes
AM
PM
AM/PM Option
Airline:
*
Flight No:
*
Arrival Ireland Flight Details
Arrival City & Airport
*
Where are you arriving to
Date
*
-
Day
-
Month
Year
Date Picker Icon
Time
*
Hour Minutes
AM
PM
AM/PM Option
Player Tansfers Select Airport
*
Please Select
Dublin TO Gleneagle
Kerry TO Gleneagle
Cork TO Gleneagle
Shannon TO Gleneagle
Not Required
*Transfers available only for guests travelling on same flights as player
Qty
*
Flight No:
Copy of Flight Itinerery
*
Browse Files
Drag and drop files here
Choose a file
Cancel
of
inbound Australia Flight Details
Departure City and Airport
*
Date
*
-
Day
-
Month
Year
Date Picker Icon
Time
*
Hour Minutes
AM
PM
AM/PM Option
Airline:
*
Flight No:
*
Tansfers Select Airport
*
Please Select
Gleneagle To Dublin
Gleneagle To Kerry
Gleneagle To Cork
Gleneagle To Shannon
Not Required
*Transfers available only for guests travelling on same flights as player
Connecting Flight Details
Departure City
*
Date
*
-
Day
-
Month
Year
Date Picker Icon
Time
*
Hour Minutes
AM
PM
AM/PM Option
Airline:
*
Flight No:
*
Arrival Australia Flight Details
Arrival City and Airport
*
Date
*
-
Day
-
Month
Year
Date Picker Icon
Passport & Travel Insurance Details
Passport No.
*
Passport Expiry:
*
-
Day
-
Month
Year
Date Picker Icon
Copy of Passport
*
Browse Files
Drag and drop files here
Choose a file
Cancel
of
Travel Insurance Policy No.
*
Travel Insurance Expiry:
*
Copy of Certificate of Currency
*
Browse Files
Drag and drop files here
Choose a file
Cancel
of
MEDICAL
Medical conditions:
*
Allergies:
*
Current Medications
*
Do you require a *TUE?
*
No
Yes
File Upload
Browse Files
Drag and drop files here
Choose a file
Cancel
of
PLAYER EMERGENCY CONTACT INFORMATION
EMERGENCY CONTACT 1
Name
*
First Name
Last Name
Relationship to Player:
*
Email
*
example@example.com
Home Phone Number
Mobile Phone Number
*
Work Phone Number
PLAYER MEDIA & PROMOTION
MEDIA & PROMOTION
Rankings & Profile
Current World Ranking:
Current Australian Ranking:
Achievements:
Please provide a brief 8 Ball resume to enable AEBF Media to utilise for AEBF & WEPF Requirements
PLAYER SINGLES ENTRIES
PLAYER SINGLES ENTRIES
*
ENTRIES - MENS
ENTIRES - LADIES
ENTRIES - OVER 50'S
ENTIRIES - JUNIORS
MASTERS PLATE - OVER 50'S
MASTERS PLATE - LADIES
MASTERS PLATE - MENS
NOT REQUIRED
SCOTCH DOUBLES PARTNER ( PLEASE INSERT NAME OF DOUBELS BELOW)
PLAYER TICKETING
Is this Required?
Yes
No
PLAYER ARENA TICKETS ONLY
*
PLAYER BANQUET TICKETS ONLY
*
Special Dietary Request:
*
Back
Next
Save
Are you bringing guests? If yes, tick required, if no, tick Not Required
Required
Not Required
GUEST DETAILS, ACCOMMODATION & TRAVEL
Travelling Guest
Name 1
*
Name 2
*
Name 3
*
Name 4
*
Guest Accommodation
*AEBF will only arrange accommodation at Gleneagle Hotel & Apartments
Room Type
*
Please Select
Single
Twin/Double
Triple
2 Bed Apartment
Not required
Person/s you are rooming with?
Check in date:
*
-
Day
-
Month
Year
Date Picker Icon
Check out date:
*
-
Day
-
Month
Year
Date Picker Icon
Total number of nights
*
Guest Tansfers Select Airport
*
Please Select
Dublin TO Gleneagle
Kerry TO Gleneagle
Cork TO Gleneagle
Shannon TO Gleneagle
Not Required
*Transfers available only for guests travelling on same flights as player
How many guest require a Tansfers?
*
Guest Tansfers Select Airport
*
Please Select
Gleneagle TO Dublin
Gleneagle TO Kerry
Gleneagle TO Cork
Gleneagle TO Shannon
*Transfers available only for guests travelling on same flights as player
How many guest require a Tansfers?
*
Guest Medical Conditions
Please advise if guests require any special assistance or have medical conditions that the AEBF should be made aware of.
*
Do you require a *TUE?
*
No
Yes
File Upload
Browse Files
Drag and drop files here
Choose a file
Cancel
of
GUEST TICKETING
Ticketing
GUEST BANQUET TICKETS ONLY
*
GUEST/ADDITIONAL ARENA TICKETS ONLY
*
Special Dietary Request:
*
GUEST SINGLES ENTRIES
GUEST SINGLES ENTRIES
*
ENTRIES - MENS
ENTIRES - LADIES
ENTRIES - OVER 50'S
ENTIRIES - JUNIORS
MASTERS PLATE - OVER 50'S
MASTERS PLATE - LADIES
MASTERS PLATE - MENS
Not Required
Back
Next
Save
PLAYER AUTHORISATION
I (named above) accept the below
*
I authorise the verification of the information provided on this form to be true and correct. I have made a copy of this form for my records. I confirm I have read and understand the WEPF Constitution & by-laws and signed the AEBF Code of Conduct.
Please sign here
*
This form, along with all supporting documentation, must be returned to your Team Manager fully completed and executed. Your Team Manager will then complete forms for the AEBF by collating this information provided by you. Your Team Manager will also provide a copy of this completed form to the AEBF. Any forms incomplete will be returned to your Team Manager for action to complete. No items on the form will be actioned by the AEBF until all items are completed and the form is returned. PLEASE KINDLY RETURN THIS FORM TO YOUR TEAM MANAGER BY 13th August 2022.
Save
Submit
Should be Empty: