Senior Individual Player Nomination Form
If a player wishes to participate in ACT Oztag but does not have a team, they are welcome to register as an individual.ACT Oztag will endeavour to place the player into a suitable team. Once a team has been allocated, ACT Oztag will communicate the team details directly to the player (or parent/guardian if applicable).If we are unsuccessful in finding a suitable team placement, a full refund will be provided.
Players Details:
Full Name
*
First Name
Last Name
Date of Birth
*
Gender
*
Male
Female
Phone Number
*
Format: (000) 000-0000.
E-mail
*
example@example.com
Preferred Venue
*
Please Select
KAMBAH MONDAY
HOLT MONDAY
KAMBAH TUESDAY
HOLT TUESDAY
BUNGENDORE WEDNESDAY
CALWELL WEDNESDAY
CROOKWELL WEDNESDAY
KALEEN THURSDAY
GOULBURN THURSDAY
Please Specify Division
Please Select
MIXED
MENS
Please give reference of any two people you wish to play with:
Rows
Full Name
Contact Number
1
2
3
Submit
Should be Empty: