Representative Cricket Player Nomination Form

To nominate as a player please complete this on-line nomination form. Sections marked with an * are mandatory and must be completed. When you have completed the form print a copy for your records and then press the submit button to send your nomination to the ACC. The cost of nomination is $17.00 and this is payable to your school sports coordinator. Once your nomination form is submitted a confirmation message from the ACC will appear on the web window. If you do not see a confirmation message on the web site then your form was not submitted correctly and you should contact the ACC office.

School Name: *

First Name: *

Surname: *

Home Phone: *

Mobile Phone:

Email: *

School Year Level next year: *

What Year level will you be in next year?

Preferred playing positions: *

Please select which of these options are your preferred playing positions, you can make multiple selections.

Playing standard: *

Please select one of these options that you consider to be the highest level of cricket that you have played.

Sports Coordinator Approval: *

YES

A condition of nomination is that the school Sports Coordinator is aware of and approves your nomination.

Parent/Guardian Approval: *

YES

A condition of nomination is that your parent/guardian is aware of and approves this nomination.

Print your completed form before pressing submit