Eastern Mavericks 5/10/15 Year Player Award 2024

APPLICATION FOR PLAYER AWARD

5 / 10 / 15 Year Player Award
5 Year Player Award

To be eligible for 5 year player award a player must have played for the Eastern Mavericks Basketball Club for a minimum of 5 years. (Year = Summer and Winter Season)

10 Year Player Award

To be eligible for 10 year player award a player must have played for the Eastern Mavericks Basketball Club for a minimum of 10 years. (Year = Summer and Winter Season)

15 Year Player Award

To be eligible for 15 year player award a player must have played for the Eastern Mavericks Basketball Club for a minimum of 15 years. (Year = Summer and Winter Season)

Any queries please email admin@easternmavericks.com.au
Player Name*

First NameLast Name
Player Date of Birth*

DayMonthYear
Date
Current Age Group
Email (Parent email if player is under 18)*
example@example.com
Mobile (Parent mobile if player is under 18)*
Please enter a valid phone number.
I wish to apply for a*

5 Year Player Award of the Eastern Mavericks Basketball Club10 Year Player Award of the Eastern Mavericks Basketball Club15 Year Player Award of the Eastern Mavericks Basketball Club
Evidence

Please provide as much information as possible of your playing details

Type a question

I, players name* have provided the above information to the best of my knowledge and believe the same to be a true and accurate record of playing details.
Signature

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Date

MonthDayYear
Date
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APPLICATION FOR PLAYER AWARD