DARWIN SQUASH ASSOCIATION
PENNANT COMPETITION NOMINATION FORM SEASON 1 – 2013
(Commences Tuesday 12th February – Grand Final Tuesday 4th June) NOMINATIONS CLOSE – COB SATURDAY 9th FEBRUARY
NOTE: To be eligible to play Pennant you MUST be a financial member of the Darwin Squash Centre. DSC Membership includes membership to the Darwin Squash Association and National Player Insurance. Forms are available from the Centre Staff.
Please print clearly all required details
PERSONAL DETAILS SURNAME
CHRISTIAN NAME CONTACT DETAILS
MOBILE WORK EMAIL
LAST CLUB GRADE PLAYED MATRIX REG. NO
LINE NO. MATRIX RANKING
**To be paid in full by 12th February 2013**
$180.00 per person PAYMENT OPTIONS – Cash or EFTPOS only
DSA Pennant Fees are inclusive of court hire, balls and Matrix administration fees.
NOTE : If a player is unable to pay the full amount by the due date he/she may chose the option of paying the Pennant Fees in two (2) payments 1st Payment $110.00 Due by 12th February 2013 2nd Payment $ 70.00 Due by 19th March 2013
PLAYER AGREEMENT I hereby agree to abide by the Darwin Squash Association Pennant By-‐Laws as determined from time to time by the duly elected DSA Committee. Signed : __________________________________________________________________ Date _____/_____/_____
OFFICE USE ONLY Amount Paid