City Touch - Nominations

Team Management Details
Name:
Date of Birth :
Email Address:
Address:
Suburb:
Postcode:
Home Phone:
Work Phone:
Mobile:
Fax:

Second Contact Details
Name:
Date of Birth:
Email Address:
Address:
Suburb:
Postcode:
Home Phone:
Work Phone:
Mobile:
Fax:

Declaration:

My team agrees to abide by the rules and regulations of CITY TOUCH. By signing this agreement you are entering into a binding agreement for the entire length of the season. I agree to be solely responsible for all nominations and related fees payable for the season for the club/team.

Location and Night Preferences

Please indicate if the ground or night preferences are of more importance to your team.
	Night		Ground
Grade Selection
	Mens Mixed Womens
Night Selection Please select two preferences
Monday	Preference	Wednesday	Preference
Tuesday	Preference
Venue Selection Please select three venues

Ashgrove		Preference
Graceville		Preference
Chelmer		Preference
Zillmere		Preference
Colmslie		Preference
Lutwyche		Preference
Mt Gravatt		Preference
Newmarket		Preference
Stafford		Preference
Grange		Preference
Has the team played administered Touch before? Yes No
I have sent a cheque or money order for AUD $ being for players and AUD $25 x Touch Balls. Any Team wishing to pay by cash or credit card please contact the office on 3275 2077 or you can pay online.

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