Brisbane Softball Assoc. Inc. Representative Web Nomination
The following form allows you as a player or official to nominate for a Brisbane Softball Association Representative Team position via the net.
Brisbane Softball Assoc. Inc. Representative nomination process
Championship Calendar
This nomination will NOT be accepted if all required fields * are not filled in, you will receive an Email reply to your nomination.
Brisbane Softball Assoc. Inc. acceptance of this nomination for officials will also indicate acceptance by the nominee that a police check will be carried out under the Child Protection Act if a valid and current Blue Card Number is not supplied.
Quick check on your status in our Database for this season
"Did you get a result from your name check registered current fixture year , PCT does not equal P - if not please indicate"
Do not worry if you did not get a result you will be nominated with further checks required
Surname * First Name * D.O.B (yyyy/mm/dd) *
Address * Suburb * Post Code *
Home Phone * Mobile *
Email *
Blue Card No.
Blue Card Exp Date. (yyyy/mm/dd)
Coaching Accreditation Expiry Date. (yyyy/mm/dd)
All under age players must have permission from their Guardian or Parent to participate in Team Photos or other Photographic shots during the Representaive Season.
Guardian/Parents Permission
Yes
No
You may make multiple selections, you may not be picked up for a particular championships if you have not nominated and failed to be selected.
Club*
Grade*
Under 15 Tick if you wish to nominate for this grade.
Official Player
Position 1 Position 2
History
Coach Asst.Coach Trainee.Coach Scorer Manager Selector
For official postions select the team you wish to nominate for
White Team Red Team
Under 17 Tick if you wish to nominate for this grade.
Under 19 Tick if you wish to nominate for this grade.
A Women Tick if you wish to nominate for this grade.
B Women Tick if you wish to nominate for this grade.
Men Tick if you wish to nominate for this grade.
Do you want a copy of your nomination emailed to you
If you cannot read the image, click for a new one New image
Send Application Reset Form
(Copy Right Brisbane Softball April 2010)