2025 Rep Team Officials Application Form

1

Full Name* This field is required.

First Name

Last Name

2

Email* This field is required.

example@example.com

3

Mobile Number* This field is required.

Area Code

Phone Number

4

Date of Birth* This field is required.

Date

6

First registered club/teamPlease provide team details

9

Male / Female Team* This field is required.

Male

Female

10

Level of Current Accreditation Held* This field is required.Please provide details and expiry date

11

Do you hold a current valid WWCC?* This field is required.

YESNO

12

Please provide WWCC number and expiration date* This field is required.

13

Previous experience relevant to your application* This field is required.

14

Are you available for midweek night and/or weekend training sessions?* This field is required.

Yes

No

Midweek only

Weekend Only

15

Do you have any other commitments in the 2-3 months prior to State Champs?* This field is required.

16

If my application is unsuccessful for this position I am willing to consider another available position* This field is required.

YESNO

17

Do you want to be placed on the Softball NSW pick up list - (If my application is unsuccessful for this position or there is no rep team entered in the age group I applied for).* This field is required.

YESNO