2022 State Championships Nominations
Charter Nomination Form
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Please note the player MUST attend all try out dates given by the charter, if you are unavailable you MUST email, soh.warriors.sec.@gmail.com Failure to attend all try outs will result in not making the team   *
First Name *
Last Name *
DOB *
MM
/
DD
/
YYYY
Address *
Parent/s or Guardian/s Names *
Contact Number *
Contact Email *
Emergency Name *
Emergency Number *
Medical Conditions - If Any *
Current Club Registered In *
Division  trying out for *
Please Provide 3 preferred positions *
Bats *
Throws *
Acknowledgement
When clicking on the Submit button, I give consent for the Media release policy & Acknowledge the Fee statement below:
I, the parent or legal guardian of above mentioned player, hereby grant permission to Southern Hills Warriors representatives, to use my child’s name, to take and use photographs and/or digital images of my child for use in:

1. Media releases, media articles – including newspapers, radio, television –printed publications and/or educational materials relevant to the Southern Hills Charter;

2. Electronic publications and communications such as Southern Hills Charter’s Facebook site and website;

3. I agree that my child’s name and identity may be revealed in descriptive text or commentary in connection with the image(s);

4. I authorise the use of these images without compensation to me. All negatives, prints, digital reproductions shall be the property of Southern Hills Charter.

5. ALL fees are payable to the teams Executive Officer on or before the due date given by the Charter. I/We also understand that in the event that the player fee is not paid in full by the due date, the selected player’s position may be withdrawn.
Thank you for your interest
Try out dates for LL to JL is 5th December at John Dunn Memorial Park, Kelmscott and 19th December at Tom Bateman Reserve, Thornlie Diamond 1 and SL Try outs is the Wednesday 8th Decemeber Tom Bateman Reserve, Thornlie
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