2025 Junior Representative Athlete Nomination

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* 1. Players contact info:

Name

Date of Birth

Address

Suburb

State

Postcode

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* 2. Emergency contact details:

Name

Phone Number

Email Address

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* 3. First position preference

Goal Keeper

Goal Defence

Wing Defence

Centre

Wing Attack

Goal Attack

Goal Shooter

I don't have a preference

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* 4. Second position preference

Goal Keeper

Goal Defence

Wing Defence

Centre

Wing Attack

Goal Attack

Goal Shooter

I don't have a preference

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* 5. Have you previously played representative netball?

Yes

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* 6. Where do you play Saturday Netball

Arawang

Tuggeranong

South Canberra

Canberra

Belconnen

None of the above

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* 7. Name of the school or club you play for in Saturday netball

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* 8. Saturday netball year & division

Inters Div 4

Inters Div 3

Inters Div 2

Inters Div 1

None of the above (provide further information in the 'Other' text box)

Other (please specify)