Winter Nomination Form

ACT Oztag Winter Team Nomination Form

Fill out the form carefully for team placement. Get ready to " GET TAGGED, YOU'LL LOVE IT" All ages from U5's to over 75's. We don’t hibernate we hydrate (with free hot chocolate).
Team Name*

Team NameTeam Delegate First NameLast Name
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Team Delegate E-mail*
example@example.com
Mobile Number*
Preferred Venue*
Senior Divisions*
Junior Divisions*
Additional Comments
Should be Empty:

ACT Oztag Winter Team Nomination Form