2024 Softball NSW Waratah League Pick-Up Form

1

Full Name of Player / Official* This field is required.

First Name

Last Name

2

Date of Birth of Player / Official* This field is required.

Date of Birth

3

Mobile Number of Player / Official* This field is required.

Mobile Number

4

Email Address of Player / Official* This field is required.

example@example.com

5

First-Registered Association of Player / Official* This field is required.

6

Do you wish to participate in the Men's or Women's State League competition?* This field is required.

MENWOMEN

7

Do you wish to participate as a Player or Official?* This field is required.

PLAYEROFFICIAL

10

Local and Representative Playing Experience* This field is required.Please provide a BRIEF outline of your previous Local and Representative playing experience

11

Official Type* This field is required.Please select the Official type that is applicable to you for the State League competition

Head Coach

Assistant Coach

Statistician

Manager

12

Local and Representative Officiating Experience* This field is required.Please provide a BRIEF outline of your previous Local and Representative officiating experience

13

I acknowledge that Softball NSW will aim to allocate me to a State League team, but that allocation is not guaranteed. Softball NSW will advise all successful pick-up Players / Officials via email.* This field is required.

YESNO