2023 Molten CBSQ Junior Regional Nomination

2023 Molten CBSQ Regional Nomination

May - June 2023
All pages of this nomination form MUST be completed. Nominations close at 5:00pm Monday 3 April, 2023.
Thursday 4 - Friday 5 May - Toowoomba

Thursday 8 - Friday 9 June - Cairns

Thursday 22 - Friday 23 June - Rockhampton

2023 Team Nomination Fees:

All Divisions - ($345)

Fees are GST inclusive
Participating Region*
School*
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Gender*
Please select the gender of your team(s) - Boys, Girls or both.
The Primary Contact will be the main contact to receive all correspondence including important information, invoices, player registration manuals and draws.
Primary Contact*

First NameLast Name
Email*
example@example.com
Mobile*

Uniform Colours
Please only list the main colour for each. All teams MUST have 2 sets of uniforms that are of distinctly different colours and these colours MUST be predominantly light and dark.
Boys Team
Primary Uniform Colour*
Alternative Uniform Colour*
Same for Boys & Girls*

YesNo
Girls Team
Primary Uniform Colour*
Alternative Uniform Colour*

Team Information
Regarding the intended player roster for your team. Please ensure that all information provided is as accurate as possible.
Boys Team
No. of players*
Maximum of 12
Average age of team*
No. of State representatives (U15/16)*
Inclusive of BQ State teams, Emerging teams and QLD Schools State teams
No. of State representatives (U18/20)*
Inclusive of BQ State teams, Emerging teams and QLD Schools State teams
No. of Association Div 1 reps*
Refers to players competing in BQ rep competitions (SQJBC, CQJBC, NQJBC)
No. of Association Div 2/3 reps*
Refers to players competing in BQ rep competitions (SQJBC, CQJBC, NQJBC)
No. of non-rep players*
Club/School level only
Girls Team
No. of players*
Maximum of 12
Average age of team*
No. of State representatives (U15/16)*
Inclusive of BQ State teams, Emerging teams and QLD Schools State teams
No. of State representatives (U18/20)*
Inclusive of BQ State teams, Emerging teams and QLD Schools State teams
No. of Association Div 1 reps*
Refers to players competing in BQ rep competitions (SQJBC, CQJBC, NQJBC)
No. of Association Div 2/3 reps*
Refers to players competing in BQ rep competitions (SQJBC, CQJBC, NQJBC)
No. of non-rep players*
Club/School level only
Please feel free to provide any further information regarding the competitions, players or performance of your team(s). This section is not compulsory.

2023 Molten CBSQ Regional Nomination