SCHA Representative Team
Player Nomination 2020

Important: A refundable deposit of $50 per person for all age groups must accompany this form when nominating for State Championships. This deposit is refundable if not selected in the nominated team.


These monies must be deposited BEFORE this form is completed as you will not be able to submit the form without the receipt number noted in the appropriate Box.


U11s DO NOT NEED TO PAY DEPOSIT - Just type 000 in the recpt number box


SCHA Details: ANZ Bank

BSB: 014 304

Acc: 3768 42468


Age Groups: All Junior players MUST nominate for their own age group first.

Please Complete All Sections
Wide Bay Championships
Southern Cross
Coulter Shield
State Championships
Direct Deposit Completed
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