Central Coast Softball Association
PLAYER and OFFICIAL NOMINATION FORM
Player/Official Name
*
First Name
Last Name
Date of birth
*
-
Month
-
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Name: (Parent/Guardian/Next of Kin
*
First Name
Last Name
Email (Parent/Guardian if under 18years)
*
example@example.com
Address
Street Address
Street Address Line 2
City
State
Postcode
Phone Number (Parent/Guardian if under 18 years)
*
Please enter a valid phone number.
Format: 0000 000 000.
Team you are nominating for
*
Please Select
U10 Boys
U10 Girls
U12 Boys
U12 Girls
U14 Boys
U14 Girls
U16 Boys
U16 Girls
U18 Men
U18 Women
U23 Boys
U23 Women
Open Men
Open Women
Over 35s Men
Over 35s Women
Over 45 Men
Over 45 Women
Position you are nominating for
*
Please Select
Player
Head Coach
Assistant Coach
Manager
Scorer
Umpire
Bat Boy/Girl
Preferred Position 1 (Player only)
*
Preferred Position 2 (Player only)
*
If a team cannot be filled. Would you like to be put on the pick up list
*
Please Select
Yes
No
Submit
Should be Empty: