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
*
Phone Number
*
E-mail
*
example@example.com
Preferred Venue
*
Please Select
KAMBAH MONDAY
HOLT MONDAY
Please Specify Division
Please Select
MIXED SOCIAL
MENS SOCIAL
Please give reference of any two people you wish to play with:
Rows
Full Name
Address
Contact Number
1
2
3
4
Submit
Should be Empty: