Sports
Nominations
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Season 13

Team name:
Team captain name:
Team captain email:
Team captain phone:
Secondary contact person:
Contact phone:
Sport:
Day:
Grade requested:

Notes

Lords reserves the right to enter teams into a different grade to that which is chosen, if it is deemed to be more appropriate for that team or necessary for the competition.

All teams should expect to play a fair spread of all game timeslots, and if you cannot field a team for a fixtured match you will be required to forfeit the game (with fees applying – see Conditions of Registering a Team).

Fixture bye-date considerations:

Please specify any bye-date considerations you wish Lords to try and take into account when processing your nomination, if byes end up being available in your grade of choice. Specific dates must be identified, and no game time requests will be considered.

Player details

NamePhoneEmail

Please complete in full. Additional players may be added to your team card at any stage during the season - see Conditions regarding finals eligibility.

Has the majority of the team members played in a similar competition before?
Please specify venue and team name:

Declaration

I declare that I have the authority to make this declaration and accordingly on behalf of the team names on this form, I declare that the team will participate in all matches programmed for the duration of the season (including finals matches) and undertake to honour any fines that may be imposed as a result of this team withdrawing or causing a match to be forfeited or any other fines allocated by Lords' staff.

I undertake, on behalf of this team and its members, to abide by the Conditions of Registering a Team, as well as all Rules of our chosen sport as specified in the Competition By-Laws issued by Lords.

I acknowledge that the members of the team agree to indemnify the City of Subiaco against any and all claims however arising, as a result of our team's use of the services, facilities and equipment at Lords.

I confirm that the players named above have given consent to their names and details being provided by me to Lords and that I have informed them that they can access their personal information held by Lords in accordance with Lords' Access Policy.


Date: Wednesday, 22 May 2013

Which payment option would you like to take? (please see conditions of registering a team for more information).


 
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