Warehouse Cricket
2017 Winter Team Nomination
Postal Address:
P. O.
Box 488 KALLANGUR 4503
Nominations nights as set down:
Club Name
Competition
(Marchant Park (Chermside) or Peter Jorgensen’s Office, Crn Belmont and Manly Rds Tingalpa)
Saturday
Ground Information
Club
Secretary
Name
Complete this section if your club is nominating
a Ground as a venue of this season’s
competitions.
Turf
Juniors
U/16
U/15
U/14
U/13
Synthetic
Synthetic = (Must be minimum of 2.8m wide)
Ground Name:
Sunday
Postcode
Ground
Address:
Home Phone:
MOB:
Fax:
Email:
Work Phone:
Note: New Grounds will only be used at the discretion
of the Executive Committee.
This application is lodged on behalf of the above mentioned Club. We
accept the conditions as set out in the Constitution and By-laws of the
Warehouse Cricket Association.
Date
/
/2017
EFT Banking: Suncorp – North Lakes
BSB: 484-799
A/C 043622355
Northside
Southside
Financial Information
Ground Phone:
UBD REF
Club Secretary____
Northside
Southside
Street Address
Sub/Town
Grade
(√)
Thursday, 6th April
Nomination Fee
$
Bond
$
Total Paid
$
$
Cash Rec:
$
Cheq Rec
$
Other:
Enquire: Ph 3204-2020 or 0415 342 007
Email: [email protected]
FIRST
NAME
SURNAME
STREET
ADDRESS
SUBURB/TOWN
ADDRESS
POST
CODE
Date
Of
Birth
HOME
PHONE
No.
Grade last
Played
Summer/Winter
1
2
3
4
5
6
7
8
9
10
11
12
All Player Registrations must be entered the MyCricket website. (See directions in Winter Invitation papers)
Enter Player names on MyCricket Website at http://mycricket.cricket.com.au
NEW TEAMS – CONTACT Peter Pfeffer on 3491-7770 or [email protected] user name and password
Unless listed on the attached sheets, please nominate
all players likely to play for your club this season.
CLUB NAME:
Be aware of player eligibility rules as per Rule: 5.2
Marchant Park (Chermside) or
Peter Jorgensen’s Office, Crn Belmont and Manly Rds Tingalpa
Thursday 6th April - (6.00 >> 9.00 P.M.)
(nominations can also be sent prior to these dates by email or post
__________________________________________________
__
GRADE NOMINATED
(1 FORM PER TEAM)
____________