NOMINATION FORM - Download as DOC

							          PEAKHURST TOUCH ASSOCIATION




Teams are invited to apply for acceptance into the summer competition conducted by the
Peakhurst Touch Association to be held on Monday night (MIXED), Wednesday night (MENS)
Thursday (JUNIORS UNDER 18s boys, girls & mixed).The junior competition will commence
on the 15th Sept 2011 with games to be played at Gannons Park ( THUR).

Junior fees may be paid at one of the REGISTRATION NIGHTS to be held at Gannons Park
(Forest Rangers canteen area) on either Thursday 1st September, Thurs 8th Sept 2011 from 4pm
to 6pm

Cost per junior player is $60.00 with discount $40.00

Any team or players who have outstanding fees will not be permitted to play due to insurance
and our duty of care.

All teams and players senior and junior must be financial by week 3 of the competition or they
will not be permitted to play.




TEAM/PLAYER NAME :______________________________________________

Delegate’s Name :_____________________________________________________

Address :_________________________________________Code :______________

e-mail:_________________________________________                 Junior Age:______

Ph – HM :_____________________________BUS :__________________________

I hereby agree that if accepted into the competition, the team and it’s officials will abide
By the rules and conditions of the Peakhurst Touch Association.

Signature :________________________________Date :___________________________

Circle Appropriate Night and Division:

             Monday Mixed                                  Wednesday Mens

Thursday Juniors Under 8’s, Under 10’s, Under 12’s, Opens

All nights subject to nominations, minimum six teams per division. Only financial teams will be
Included in the draw.




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