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2026 O45 Men's Representative Trials / Nomination

Monday 17th, Wednesday 19th, Tuesday 25th and Thursday 27th August 2026 6:30pm - 8:30pm Stanhope Gardens

Stanhope Gardens Reserve, 50 Stanhope Parkway, Stanhope Gardens

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Basic details

First name*

Last name*

Phone number*

Email address*

Address*

Additional information

1st playing position*

2nd playing position*

Does the nominating player have any health issues, injuries, allergies or medical conditions we need to be made aware of?* Max 255 characters

Does the nominating player require any type of reasonable adjustment at all?* Max 255 characters

Emergency Contact Name*

Emergency Contact Number*

Emergency Contact Relationship*

I confirm that I have read and understand the Terms and Conditions above as the nominated person (or on behalf of the nominated person if under the age of 18).*

Yes

Please indicate your name as the person completing this application form and agreeing to the above Terms and Conditions.*

I am over 18, or, if I am under 18, this registration has been filled out by and endorsed by my parent or guardian.*

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