2026 Sub Primary Nomination

THIS FORM IS FOR SUB PRIMARY PLAYERS IF BORN IN 2017, 2018 OR 2019 *SUB PRIMARY PLAYER MUST BE 7 YEARS PRIOR TO THE COMMENCEMENT OF THE SEASON

Sub Primary Winter Trials Form

Player Information

Email to be used for all communication from the Club(Required)

Player Name(Required)

First Last

Player Date of Birth(Required)

Gender(Required)

Player Mobile Number(Required)

Address(Required)

Street Address Suburb Postcode

Are you of Aboriginal and/or Torres Strait Islander origin?(Required)

Do you identify yourself as living with a disability/disabilities?(Required)

Please list the disability/disabilities you identify living with

Game Day Polo/Tee size(Required)

Emergency Contact Details

Emergency Contact Name(Required)

First Last

Relationship to Player(Required)

Emergency Contact Mobile Number(Required)

Trial Information

What Club did you play for in 2025?(Required)

What age group and grade did you play in 2025?(Required)

How many seasons have you played for Contax?(Required)

Are you available for all trials?(Required)

Please list the dates/times you are not available

Please list if someone has recommended you attend Contax trials

At Sub Primary level we require Parent participation in regards to umpiring on game day throughout the season. Our Umpire Coordinator will be in touch with selected players families once training starts with more information however it would be greatly appreciated if all parents/caregivers could assist with umpiring a couple of matches you are throughout the season. If however, the parent/caregiver is interest in umpiring a grade outside of Sub Primary, please provide umpire name, contact details and experience.(Required)

Please provide name, contact details and experience of umpiring(Required)

Would the player or parent/caregiver be interested in coaching for Winter 2026?(Required)

Please provide name, contact details and experience of coaching(Required)

Do you have any existing medical conditions/illness/allergies?(Required)

Please list your existing medical conditions/illnesses/allergies(Required)

Nomination Fees

Please note that all Winter Nomination Fees must be paid at time of nomination.

Processing fee

Nomination Fee(Required)

Sub Primary ($20)

Total

Credit Card(Required)

MasterCard

Visa

Card Number

Expiration Date

Security Code Cardholder Name

Name

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