NQ Veterans Participation Expression of Interest Form

NQ Veterans Participation Expression of Interest Form

To qualify for selection you must have served in a Statutory Military Force either as a Regular, Reservist or Conscript or Civilian Frontline Emergency Services such as Police, Fire Services, Ambos and Corrective Services and must be at least over 35 years of age on 11 November 2023 to play
Player name*

First NameMiddle NameLast Name
Date of Birth*

DayMonthYear
Desired Role/s*

Player (Over 35)Coaching StaffSupport StaffFirst Aider / Strapper
Player Position Preference 1
Player Position Preference 2
Address*

Street Address

Street Address Line 2

CityState

Postal Code
E-mail*
example@example.com
Telephone Number*

Area CodePhone Number
TDRU/FNQ Affiliated Club*
ADF Affiliated Sub Union*
Brief Service History and/or Additional Comments
Should be Empty: