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INA ENGLAND – 2012 TRI NATIONS TRIAL REGISTRATION FORM TRIAL DATES: GUERNSEY NETBALL TOURNAMENT
ICG CENTRE
22rd/23rd OCTOBER 2011
LIVERPOOL
EIGHT4SPORTS CENTRE
29th OCTOBER 2011
BRISTOL
ACTION INDOOR SPORTS
19th NOVEMBER 2011
LONDON
PLAY ON CANARY WHARF
3rd DECEMBER 2011
FINAL TRIAL SELECTION (BY INVITATION)
PLAY ON CANARY WHARF
4th DECEMBER 2011
Complete forms need to be returned to Carolyn (carolyn.gunter@ina-england.co.uk) 3 weeks before your selected trial date. You will be notified 2 weeks before your selected trial date if you have been selected to attend the trial.
APPLICATION FORM TITLE
FORENAME
DOB
AGE
TEAM YOU WISH TO TRIAL FOR
SURNAME M/F
EMAIL TRIAL LOCATION ATTENDING
COUNTRY OF BIRTH
DO YOU HAVE A BRITISH PASSPORT?
HOW MANY YEARS HAVE YOU BEEN LIVING IN ENGLAND? ADDRESS
ST
1
EMERGENCY CONTACT NAME AND PHONE NUMBER
ND
CHOICE PLAYING POSITION ST
CURRENT 1
2
CHOICE PLAYING POSITION
CHOICE CLUB AND BRIEF DESCRIPTION OF PLAYING HISTORY
IF EMPLOYED Current position, name and address of employer
IF IN EDUCATION Name of education facility and educational course
WHAT WOULD YOU LIKE TO ACHIEVE IN YOUR NETBALL CAREER?
WHAT DO YOU THINK YOU CAN BRING TO THE INA ENGLAND TEAM?
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