Trial Nomination Form

To nominate for Cougars State League, Reserves & Metro League trials to be held on
13th November 2008, Thursday6:30 pm - 8:30 pm, and
16th November 2008, Sunday10:00 am - 12:00 noon, and possibly
19th November 2008, Wednesday6:30 pm - 8:30 pm
Fill in the form below and click on the submit button. Additional details will be emailed / mailed to you.
You must nominate before the trial in order to take part.

Name
Address
Suburb Post Code
email address
Phone (H) (Mob)
Birthdate Height
Preferred Positions

Next three rows need not be completed by current Cougars' players.
Previous Club PrevGrade Year
Additional Details
Where did you hear of the trial If Other please specify

I acknowledge that netball is a vigorous physical sport and that injuries can be sustained as a result of participation. I agree to trial and play for the Club entirely at my own risk. I also agree to fully indemnify the Club against all costs, claims or demands incurred by or brought by or against the Club arising in any way, whether through injury or otherwise, as a result of my playing for the Club.

Please indicate your agreement to the paragraph above by clicking one of the dots.    Agreed Disagreed