Nomination Form

Junior Reps Player Nomination 2016
Are you a seasoned player or just starting to find your feet?
Do you want to play hockey at State Championships?
Come play Rep Hockey!
Representative Hockey is for players of all abilities, from the seasoned player to the beginner
from U11s to U18s. Representative hockey offers all players the next level of coaching and
competition as well as the opportunity to make new friends and go onto further representative
honours. If you’re interested in playing reps in 2016 please return the filled out nomination
form below to [email protected].
Rep trials will be held over two Sunday sessions, with times & location to be confirmed.
Trials will cost $15 to cover the cost of field hire for the two sessions, payable at the first
trial.
Trial Dates

U18 Boys and Girls February 7th & 14th (Nominations due 30/1)

All other age groups 21st February & 6th March (Nominations due 14/2)
First Name:___________________
Surname: __________________________
DOB: ___/___/___
Contact email: _______________________
Parent Contact (M) _______________
Parent Name: ________________________
Competition & Club _____________________
Preferred Position: _____________
Alternate: _______________
Playing experience:
___________________________________________________________________________
___________________________________________________________________________
Please note there has been a change to the SEHA representative Policy regarding
underage players. Players wishing to trial underage must list this on their nomination!
For U13’s a maximum of 2 players may be selected to play in U15’s
For U15’s a maximum of 3 players may be selected to play in U18’s