NZ Representative Self-Nomination
Self-nomination to be considered for selection to a New Zealand National Curling Team.
You MUST submit your self-nomination to be considered for selection.
Questions? Please see https://www.curling.org.nz/index.php/nz-rep-self-nomination
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Full Name *
Preferred name *
Date of Birth *
MM
/
DD
/
YYYY
Email address *
Team(s) I would like to be considered for
Please rank teams in order of preference - but you do NOT need to list all preferences (e.g. if you only wish to be considered for one team, just mark that as your 1st preference and leave others blank). Please note that the winning team at NZ Mixed (4s) has first option to represent NZ at the World Championship
NZ Men/Women (Nov)
Under 21 (Dec)
Mixed (Oct)
1st preference
2nd preference
3rd preference
Clear selection
Preferred playing position *
Please select one only
Other positions I would play
What is your home (local) club? *
Number of years Curling experience *
Note: beginner curlers are unlikely to be considered
Address
Phone number(s)
Please include area code for a landline
Gender *
Nationality *
If a NZ resident, please enter the number of years next
If a NZ resident - for how many years?
Comments
Declaration *
1/ If selected for a team, I confirm that I am available to travel to play for that team in national and specified international fixtures during the coming 12 months.  2/ I understand that if selected for a team, I will have to enter into an “Athlete Agreement” with the NZCA, and that I am committed to doing so.  3/ I understand that I may be required to register for out of competition random drug testing with Drug Free Sport NZ as well as drug testing at events. 4/ I understand that if selected for a team, I may have to cover some or all of the costs of travelling to train for and/or to play in national and international fixtures.  5/ I agree to abide with and be bound by the decisions of the National Selectors.
Required
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