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