Netball Playing Record: (Please indicate teams and years in Club and Region)
Southern Sports Academy
Club:
Trial for the selection of
15 Years Netball Team
Region:
The Southern Sports Academy will be holding trials
for the selection of a 15 Years Netball Team.
Trial
Junee Recreation Centre, Junee
Sunday 28th July 2013, 9.00am – 4.00pm
Consent Declaration
By completing this application you have been selected to trial.
Parent / guardian: I give my child/ward
Permission to trial for selection to the Southern Sports Academy’s 15 Years Netball
Team.
Signed:
Date:
/
The 15’s Year Team will be announced on the day.
/
Please complete this form in full and return by 19th July 2013.
2013 15 Years Netball Team
Southern Sports Academy
PO Box 8545
Kooringal 2650
For further information contact: Southern Sports Academy,
On phone 02 6931 8111 or Email: [email protected].
Applications are also available on the Southern Sports Academy web site:
www.ssa-nsw.org.au
Further information is available by contacting the Academy
on phone 6931 8111 or email: [email protected]
A Message from Greg McLay
Executive Director
Southern Sports Academy
15 Years Netball Nomination Form
Surname:
Given Name:
Address:
Postcode:
Netball NSW is once again asking each of the Regional Academies to
select a 15 Years Squad to compete at the annual 15 Years Development
Weekend, to be held in Sydney from 5 – 6 October.
School Attended
Year
Phone: (Home)
(Bus)
Email Address
Netball NSW selectors will add to their player review notes from State
Age Championships and, following the 15 Years Development Weekend,
ultimately select their 15 Years Talent Identification Squad, the Highly
Commended Squad and Tall Timbers squad. These squads will then
attend the Netball NSW camp to be held in Narrabeen from 25 – 27
October.
Following the Southern Sports Academy trial on 28 July, a squad of 12
athletes will be selected. This squad will then have a training session on
18 August at the Junee Recreation Centre, from 9am – 4pm. We are
limited to one training session only with this squad, based on
requirements set out by Netball NSW.
Southern Sports Academy is therefore calling for applications from
athletes to trial for a position within the Southern Sports Academy’s 15
Years Netball team for the 2013 year.
Parent’s / Guardians Name(s):
## Selection Criteria: Applicants must have been born in 1998 only.
Emergency Contact No.
Medicare No.
Medications/Medical Conditions (eg. Asthma, Allergies etc):
Declaration and Authority
I, Mr / Mrs / Ms
hereby give
permission for
to receive whatever
medical attention is deemed necessary in the case of illness or accident.
I also undertake to pay all associated costs (ie. Ambulance travel), medical
fees and / or the cost of drugs which may be incurred while my child / ward
is in the care of the Academy. This permission is given to the Netball staff of the
Southern Sports Academy.
Player Profile
Supplying all player details is compulsory, do not leave blank spaces
DOB:
/
/
Height
Weight
* Name of current club?
*Which State Association is your club affiliated with?
*Are you registered with Netball NSW?
* Preferred playing position 1.
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