COMPETITION ENTRY FORM - BOYS
2016 NATIONAL AGED CLUB CHAMPIONSHIPS FOR BOYS AGED 16 YEARS AND UNDER –
BORN 2000, 2001 AND 2002
NOTE ONLY PLAYERS BORN IN THE YEARS 2000, 2001 AND 2002
ARE ELIGIBLE TO ENTER THE CHAMPIONSHIPS - THERE ARE NO
EXCEPTIONS TO THIS RULE
MAIN POOL:
THE VALLEY POOL, 432 WICKHAM STREET, FORTITUDE VALLEY BRISBANE
ADDITIONAL POOL:
SHOULD ENTRIES EXCEED THE CAPACITY OF THE VALLEY POOL.
To be advised – will be within 15 minutes-drive of the Valley Pool.
DATES OF COMPETITION:
800AM TUESDAY 27TH SEPTEMBER 2016 TO 200PM SUNDAY 2ND OCTOBER 2016
COMPULSORY COACH THINK ACT PLAY MEETING:
600PM MONDAY 26TH SEPTEMBER 2016 VENUE TBA
IMPORTANT NOTICE TO ALL CLUBS ENTERING NATIONAL AGED CLUB
CHAMPIONSHIPS. PLEASE READ CAREFULLY.
1. All Clubs must be current financial members of good standing with their relevant State Water
Polo Organisation (SWPO) and must maintain that status to be able to compete in a National
Aged Club Championships. If you have any doubt in this matter please speak directly to your
State Water Polo Organisation
.
2. All clubs must have no outstanding debts with Water Polo Australia (WPA) – if there are
outstanding debts they must be settled with WPA prior to a team entry being accepted.
3. This entry form must be signed by a member of the Committee/Board of the relevant club.
4. The entry form must also be signed by the relevant State Water Polo organisation and as such
entry forms should be sent to that organisation who will forward them to WPA. Entries received
by WPA that do not have the relevant State Water Polo organisation signature will not be
accepted.
2016 NATIONAL AGED CLUB CHAMPIONSHIPS FOR BOYS AGED 16 YEARS AND UNDER
BORN 2000, 2001 AND 2002 – TEAM ENTRY FORM
PAGE 1
5. Entries Open Monday 11th July 2016 and close on Friday 29th July 2016 – LATE ENTRIES
WILL NOT BE ACCEPTED.
6. The team entry fee is $1,700 incl. GST and must be paid by Tuesday 30th August 2016 –
i.e. payment must be received by WPA by the due date. Failure to meet this payment
date will result in the team being withdrawn from the competition. Invoices will be sent
to each club in the week ending Friday 5th August 2016. Withdrawal after payment of the
entry fee will result in forfeiture of the entry fee.
7. Player and team eligibility criteria is available on the Water Polo Australia web site.
8. Team lists will be required by Tuesday 30th August 2016. The draft will be held on Sunday 4th
September 2016 - a notice re Draft procedures and player availability, including draft forms for
players and teams, will be available on the WPA web site on Monday 11th July 2015.
9. All coaches and team officials must possess a current Child Protection clearance (Working with
Children Check) – if you are not sure about this qualification contact your local State Water
Polo organisation who will direct you to the relevant State Department. Coaches and team
officials who do not possess this clearance and cannot produce the relevant documentation
(usually a card) will not be permitted to participate in the competition.
10. All participants will be required to sign a member protection document prior to participating in
the competition. All participants must be registered on Foxs Sports Pulse (FSP) with the team
names to be submitted via FSP – instructions will be provided to teams by WPA. Teams who
do not submit names via FSP will be excluded from the competition. Teams names, including
cap numbers, must be submitted via FSP by Sunday 11 th September 2016.
TEAM ENTRY DETAILS – COMPLETE ALL SECTIONS
CLUB NAME
TEAM NAME
IS THIS A
COMPOSITE TEAM
YES / NO
TEAM MANAGER
NAME
TEAM MANAGER
MOBILE NUMBER
TEAM MANAGER
EMAIL
NAME OF CLUB
OFFICIAL
NOMINATING THE
TEAM
2016 NATIONAL AGED CLUB CHAMPIONSHIPS FOR BOYS AGED 16 YEARS AND UNDER
BORN 2000, 2001 AND 2002 – TEAM ENTRY FORM
PAGE 2
CONTACT DETAILS
OF CLUB OFFICIAL
NOMINATIING TEAM
– MOBILE PHONE
NO AND/OR EMAIL
POSITION
SIGNATURE
NAME AND EMAIL
ADDRESS OF THE
PERSON THAT IS
RESPONSIBLE FOR
INVOICES TO BE
SENT TO
DATE
STATE WATER POLO ORGANISATION ENDORSEMENT
NAME OF STATE
WATER POLO
ORGANISATION
NAME OF PERSON
ENDORSING TEAM
POSITION
SIGNATURE
DATE
THIS ENTRY FORM MUST BE SUBMITTED TO THE RELEVANT STATE
WATER POLO ORGANISATION BY CLOSE OF BUSINESS ON FRIDAY
29TH JULY 2016. THE RELEVANT SWPO WILL FORWARD THE ENTRIES
TO:
BY NOEL HARROD, MANAGER, EVENTS AND COMPETITIONS AT
[email protected] BEFORE
Midnight Tuesday 2nd August 2016 – Late entries will not be accepted.
2016 NATIONAL AGED CLUB CHAMPIONSHIPS FOR BOYS AGED 16 YEARS AND UNDER
BORN 2000, 2001 AND 2002 – TEAM ENTRY FORM
PAGE 3