Junior E Blacks Application Form

Junior E Blacks Application Form
Apply to become part of the Junior E Blacks pathway.

This form is for players aged 13 to 18 who are interested in training, developing their skills, and being considered for the Junior E Blacks squad. Please make sure all details entered are accurate and up to date, as we may use them to verify your eligibility and contact you about your application.
- Your Name and Surname
  
  First NameLast Name
- Your Email Address
  name@youremail.com
- Your Phone Number
  
  Area CodePhone Number
- Your Age
- Your Date of Birth
  
  MonthDayYear
  Date
- Your Region
- Your School Name
- NZSS League
  
  We will cross-check your details against our records to confirm whether you have entered and competed in the NZ Secondary School Esports League.
- Have you competed in any Clash event as part of the NZSS League? Please specify below:
- What is the gamer tag you used for the league?
- What game are you applying for?
- I consent to NZSS League, run by the New Zealand Esports Federation using my contact details to contact me if my application is successful.
  
  Other
- Parent or Caregiver Name and Surname
  
  First NameLast Name
- Their Email Address
  example@example.com
- Their Phone Number
  
  Area CodePhone Number
- Does your parent or caregiver consent to you sharing their contact details with us, and do they agree that we may contact them about your application?
  
  Other
Should be Empty:

NZSS League