Details

2024 Junior Country Champs Team Entries & Referee Nominations

Team Entry Applications must be submitted by 31 August 2024

online

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Are you attending this event?

Yes No

Basic details

First name*

Last name*

Phone number*

Email address*

Address*

Additional information

Team Entry Information

Name of Association*

Please select the divisions to which you wish to apply for team entry (limit 1 team per division).

Boys U19 Division

Yes

Girls U19 Division

Yes

Boys U17 Division

Yes

Girls U17 Division

Yes

Boys U15 Division

Yes

Girls U15 Division

Yes

Referee Nomination Information

As part of this entry you are required to nominate at least one qualified referee for every team entry.

Full Name of Referee Nomination #1*

Accreditation Level of Referee Nomination #1*

Full Name of Referee Nomination #2

Accreditation Level of Referee Nomination #2

Full Name of Referee Nomination #3

Accreditation Level of Referee Nomination #3

Full Name of Referee Nomination #4

Accreditation Level of Referee Nomination #4

I need more space for Referee Nominations

Yes

Terms Of Registration

I acknowledge that I am the appropriate delegate authorised by my Association or School to apply for team entries to the 2024 Junior Country Championships and make referee nominations in accordance with the Junior Country Championships Regulations.

I confirm that I have read the above Terms Of Registration in its entirety.*

I agree to the Terms Of Registration.*

I am over 18, or, if I am under 18, this registration has been filled out by and endorsed by my parent or guardian.*