City Touch - Nominations

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Junior Nomination

office@citytouch.com.au

If you do not have a team but still want to play, simply type "Individual - No team" as your team name.

Team Name
Team Name:
Previous Team Name:

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 game rules and competition regulations of CITY TOUCH. By signing this agreement I am 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
	Juniors U8-10 JuniorsU10-12 Juniors U12-14	Mixed Juniors Boy Girl
Night Selection Please select two preferences
Monday	Preference	Wednesday	Preference
Tuesday	Preference	Thursday	Preference
Venue Selection Please select three venues
Chelmer Mt Gravatt Shaw Road

Has the team played Touch before? Yes No

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