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.

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 19 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


A Women 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


B Women 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


Men 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


Do you want a copy of your nomination emailed to you


Verification"  Please Enter the Characters displayed (Case dependant ) -Why?

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(Copy Right Brisbane Softball April 2010)