NLD RFU Senior Ladies Player Application Form 2016-17
This form MUST be completed and submitted for EVERY player wishing to take part in the Senior Ladies
Notts, Lincs & Derby, (NLD), 2016-17 season.
Please complete each section in BLACK, BLOCK CAPITALS and bring to trials.
Age Group; Senior Ladies
First Name: ...... Surname: ......
Player Date of Birth:
Home Address: ......
......
Post Code: ......
Home Tel No: ...... Mobile: ......
Name of Emergency Contact......
Emergency Contact E-Mail Address: ......
Medical Conditions/Allergies (Asthma, Epilepsy, Allergic to penicillin etc
......
(continue on reverse or separate sheet if required)
Existing Injuries (please give details of any ongoing injury/condition requiring ongoing medical support OR
recently sustained Head Injury- last 3months. Failure to do so may prejudice your application for NLD)......
......
......
(continue on reverse or separate sheet if required)
NLD RFU Senior Ladies Player Application Form 2016-17
Name of School/College NA
Address: NA
NA
Name of Rugby Club: ......
Player GMS number, (if known)......
Representative Playing History: (please give date etc using separate sheet if needed)Playing Position: (please Circle or delete as appropriate)
Prop (tight head) / 2nd Row / Scrum Half (9) / Inside Centre / Wing
Prop (loose head) / Flanker / Fly Half (10) / Outside Centre / Full Back
Hooker / No. 8
Signature of Player: ...... Date: ......
Signature of Parent/Guardian/Carer: NA Date: NA
Signature of Age Group Manager: ...... Date: ………………………………….
Important Dates: SENIOR LADIES
Date / Event / Venue / Start TimesSunday 5.3.17 / Trials / Southwell RUFC / 13.30-16.00
Thursday 9.3.17 / Trials / Southwell RUFC / 19.00-21.00
Thursday 16.3.17 / Training / Southwell RUFC / 19.00-21.00
Thursday 30.3.17 / Training / Southwell RUFC / 19.00-21.00
Thursday 13.4.17 / Training / Southwell RUFC / 19.00-21.00
Thursday 27.4.17 / Training / Southwell RUFC / 19.00-21.00
Sunday 30.4.17 / Match v Yorkshire (away) / tbc
Sunday 8.5.17 / Match v Staffordshire (home) / Southwell RUFC / 13.00-16.00
Sunday 15.5.17 / Match v North Midlands (home) / Southwell RUFC / 13.00-16.00
Sunday 22.5.17 / Semi-Finals (away) / tbc
Sunday 29.5.17 / Final (away) / tbc
Player Expectations:
As competition increases for places within NLD W&G’s Representative rugby sides and in-line with the W&G’s Committee’s expressed intent to make NLD CB rugby more aspirational there will continue to be a minimum expectation for ALL players selected for Senior Representative Squads. Although not a definitive list this is a minimum expectation NLD is placing on ALL Senior Representative players this season. This is to ensure that players selected for the programme get the best possible experience and opportunity to progress.
· As a commitment to the NLD CB programme all Representative players are expected to attend a minimum of 75% of training sessions. (If individual players are unable to make certain training dates they must contact their Head Coach with an explanation as to why. Failure to do so may result in removal from the Representative squad. Individual’s circumstances will be taken into account).
· All Representative players are expected to make themselves available for a minimum 66% of Matches. (If individual players are unable to make certain training dates they must contact their Head Coach with an explanation as to why. Failure to do so may result in removal from the Representative squad. Individual’s circumstances will be taken into account).
· All Representative players will be encouraged to complete an Individual Feedback Form and submit to their Head Coach within 2 weeks of completion of their CB programme. (NLD coaches have committed to providing player feedback within the same timescale IF feedback has been requested).
This is a two-way commitment between interested parties and ALL players can expect the following from their NLD Coaches and Managers.
· Timely, open and honest communication.
· Constructive feedback on individual’s performance whether at trials or after a game.
· Support and guidance throughout the programme to aid player development.
· Emphases to be on player development not “win at all costs”.
· If you have been selected as a Representative player you will have at least minimum game time.
The completed application form MUST be brought along to Trials and passed to the Manager or Head Coach.
The Player Expectations, (page 3), is for your reference only and does not need to be returned with the completed Application Form.
For clarification or further information please contact the NLD Office on 01636 640800, NLD W&G Chair Neil Clack 07734 179339 or NLD Senior Ladies Head Coach Dan Edson 07811341723