SPRINGWOOD & DISTRICTS BASKETBALL ASSOCIATION

SENIOR NOMINATION FEE: $60.00

NOMINATIONS DUE BY: 15th September 2016

Summer Competitions 2016 commence from Monday 10th October 2016

Please complete ALL DETAILS on this form

Team Name: ……………………………… MEN: DIV 1 2 or 3 or WOMEN or MIXED

Team Contact: ………………….………… Email Address: ……………………………………...

Phone Number: …………………………… Mobile Number: ……………………………………...

ALL TEAMS MUST NOMINATE A MINIMUM OF 2 PEOPLE AS THEIR TEAM REFEREE, OTHERWISE NOMINATION WILL NOT BE ACCEPTED.

Note: Teams that do not have any qualified referees, S&DBA will run a “free” Level O Course. Please nominate who will be doing the course. Once course is completed this player will be paid when required to referee.

Referee Name: ……………...... Grade: ……. Referee Name: ………………….. Grade: …….

NAME / PHONE NUMBER / REGO NO. / D.O.B / 2015/16 REP PLAYER
Yes / No
Yes / No
Yes / No
Yes / No
Yes / No
Yes / No
Yes / No
Yes / No
Yes / No
Yes/No

Allocations of grade, and day or night of play, will be the responsibility of the S&DBA and ALL TEAMS MUST BE PREPARED to play in the grade and on the day or night allocated by S&DBA. Failure to do so will mean the forfeiture of

nomination money and the withdrawal of the team from the competition. All teams / players must fulfill the requirements of the S&DBA

By-Laws. S&DBA By-laws can be found on www.springwoodscorchers.com.au .

For players affiliating with our Association for Summer 2016; the affiliation fee is $35.00, which will last for the whole

Competition or until such time as the primary registration runs out, whichever is first.

In nominating for the 2016 Summer Competition our team is aware and understands the “Zero Tolerance Policies”

adopted by S&DBA. We agree to abide by these rules, whilst participating in any competition conducted by S&DBA. Disputing of game official’s decisions will not be tolerated. Any referee issues should be raised by the team coach or captain with the Referee Supervisor, preferably during the game. (Persons signing must be over the age of 18).

Note: S&DBA allow junior players who are 16 years old to play in the open competition. Representative Juniors must be at

least 14 years of age and obtain approval from the Board to play in Senior Competitions.

If you are a 2015/16 Senior representative player you must nominate in the highest division offered by S&DBA.

THIS SECTION TO BE SIGNED: …………………………………………………………..

Office Use Only: Receipt Number: Date: