2015 Athlete Nomination Form
Abala Rd, Marrara NT 0812 Develop a Diamond Academy (13-16yrs) 2015 Athlete Nomination Form PO Box 2391 Parap NT 0804 Tel: 08 8945 1733 Fax: 08 8945 1433 [email protected] nt.netball.com.au Nominations are being sought for athletes wishing to be considered for the 2015 DADA (Develop a Diamond Academy) Program. Athlete selections will be conducted in accordance with the Netball NT Athlete Selection Policy. Nominating athletes are required to complete the following nomination form and return it to Netball NT by the close of nominations late nominations will not be accepted. 1. PERSONAL DETAILS Name and Surname Address Street or PO Suburb Contact Details Home Ph. Mobile Email Date of Birth Height 2. NEXT OF KIN Name Relationship Emergency Contact No. Postcode 3. NETBALL DETAILS District Club District Coach Coach Contact (email) Preferred Playing Position/s Highest Level Played in 2014 4. IMPORTANT INFORMATION All nominating athletes must fulfil the selection requirements identified in the Selection Requirements section of Netball NT Selection policy. Nominations will only be accepted if you are aged 13- 16 years. Exemptions may be granted under exceptional circumstances and will only be considered if applied for in writing using the Application for Exemption Form. Program Details Darwin-Training will be once a week on Fridays from 4:00 - 5:30pm starting on the 22nd May 2015 through to the 28th August (this will be your last training day) where you will receive time off until October 5th where training will commence at twice a week the second day will be Mondays 4-5.30pm at MIS until 23 November. Alice Springs- TBA Katherine- TBA Attendance at selections is mandatory for all nominating athletes. Exemptions may be granted under exceptional circumstances and will only be considered if applied for in writing using the Netball NT Application for Exemption. Selections Dates Darwin- 9th May 9:00am- 5:00pm Marrara Indoor Stadium Alice Springs- 24th May other details TBA Katherine- TBA Nominations close Darwin- 5:00pm 7th May 2015 Alice Springs- 5:00pm 21at May 2015 Katherine- TBA Any enquiries please contact Stacey Carkeek, Operations Manager Email: [email protected] Fax: (08) 8945 1733 5. DECLARATION I hereby nominate for consideration in the 2015 Develop a Diamond Academy and I accept the above conditions and agree to be bound by the selection law and directions of the Board of Netball NT (Parent/Guardian signature required for players under the age of 18) Name Parent or Guardian Sign Sign Date Date
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