INBOUND INTERNATIONAL TOURING REQUEST
TOURNAMENT INFORMATION
Official Name of Tournament
*
Date of Tournament
*
-
Month
-
Day
Year
Date
Location of Tournament (City and Country)
*
Tournament Contact Name
*
First Name
Last Name
Tournament Contact Role
Tournament Contact Email
*
example@example.com
Tournament Contact Phone Number
*
-
Area Code
Phone Number
PARTICIPANT/TEAM INFORMATION
Name
*
First Name
Last Name
Date of Birth
*
-
Month
-
Day
Year
Date
Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Email
*
example@example.com
Phone Number
*
-
Area Code
Phone Number
Accreditation Level of Applicant (if Relevant)
Please Select
Level 1 or Foundation Coach
Level 2 or Talent Coach
Level 1 Referee
Level 2 Referee
Level 3 Referee
Level 4 Referee
Level 5 Referee
Level 6 Referee
Current Affiliate of Applicant/Team
*
Planned inbound travel Dates of Applicant/Team
*
-
Month
-
Day
Year
Date
Planned outbound travel Dates of Applicant/Team
*
-
Month
-
Day
Year
Date
Role Applicant will be fulfilling
*
Team
Coach
Referee
Referee Coach
Individual Player
If wishing to send a team/s please give in an indication of divisions being considered.
If wishing to attend as an individual player please advise which division/s and or any club preference. Please note for individual players, the NSWTA look to place you in a team that best suits the competition.
Signature
*
HOME FIT AFFILIATED NATIONAL BODY
ENDORSEMENT INFORMATION- NSWTA will verify this endorsement.
This application is endorsed by the national Touch Association
*
Yes
No
Name of National Representative Endorsing attendance
*
First Name
Last Name
Position of National Representative endorsing attendance at event
*
National Representative Email
*
example@example.com
FEDERATION OF INTERNATIONAL TOUCH
ENDORSEMENT INFORMATION- NSWTA will verify this endorsement.
This application is endorsed by FIT
*
Yes
No
Name of FIT Representative Endorsing attendance
*
First Name
Last Name
Position of FIT Representative endorsing attendance at event
*
FIT Representative Email
*
example@example.com
Submit
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