NOMINATION FORM

Tennis Macarthur Interdistrict Teams 2017

I wish to be considered for selection to represent Tennis Macarthur in the 2017 Interdistrict Competition.

If I am selected I agree to abide by all the Interdistrict conditions as set down by Tennis Macarthur.

I WISH TO BE CONSIDERED FOR ……………………………………………

You must nominate in your correct age group.

Players will only be promoted based on previous exceptional performances in ID & Championships

& suitability to the team in which they are selected

¨  Blackwell Cup (Open Men) / ¨  Presidents Cup (16 & under boys)
¨  Angus & Coote (Open Women) / ¨  Irene Matthews Cup (16 & under girls)
¨  Senior Men(Over 35 or Over 50) / ¨  Esca Stephens Cup (14 & under boys)
¨  Senior Women (Over 35) / ¨  Wade & Neal Cup (14 & under girls)
¨  AJ McAndrew Cup (12 & under boys)
¨  MC Crakanthorp Cup (12 & under girls)

SURNAME ………………………..CHRISTIAN NAMES…………………….……

Date of Birth …………………… Age as at 30th September 2017…………………………

Address……………………………………………………………...…………………

Suburb……………………………………………Postcode ………………..….…….

..

Email …………………………………………………….……………………..…….

Phone Home ………………………..Mobile …………….…….…….

1.Name( Parent)………………….. mobile…………………. Email. ………………………

2.Name (Parent)………………….. mobile…………………. Email. ………………………

TENNIS NSW NUMBER ……………………………………………………………

1.  I agree to be available for the entire competition with the exception of illness or injury.

2.  I agree to play in the team as selected

3.  Media Statement – I consent to him/her being involved in any publicity connected with the Interdistrict Competition, including media interviews & photographs. Please inform the Secretary if you do not wish him/her to be involved with publicity

4.  Data Storage Statement – I consent to Tennis Macarthur and organizers of the Interdistrict competition to use details provided to communicate information about this competition via post/email or SMS

5.  I agree to wear the prescribed 2017 SDTA/Tennis Macarthur Inter District shirt sponsored by McDonalds & Wests Tennis Club ( at a reduced to ID players of $20 ) & to provide my own NAVY shorts/skirt.

SHIRT SIZE
Please circle
Boys or Girls (sleeves & Collar)
8, 10, 12 , 14,
Mens
S, M, L, XL, XXL, XXL
Girls (V neck, cap sleeve)
8, 10, 12, 14
Ladies (V neck, cap sleeve)
S, M, L, XL, XXL
Dresses (extra cost?)
8, 10, 12, 14,
S, M, L, XL, XXL,

Please see information sheet for details -

All ID players will get the new Association shirts/dresses for half price

I have read and accept the above conditions

Signed …………………………………….

( Signature of player or parent if Under 18)

Nominations Close – Monday 22nd MAY 2017 & must be sent to

Lesley Pascoe

2 Deep Pool Way, Mt Annan 2567

EMAIL ;

DO NOT LEAVE AT CLUB

A confirmation email will be sent to confirm your entry has been received

Please contact Lesley if you do not receive this

(Late nominations will only be accepted at the discretion of the Selection Committee)

AS SHIRTS ARE THE SAME AS PREVIOUS YEARS PLEASE INDICATE IF YOU INTEND TO PURCHASE A NEW SHIRT