Winter SAMMNA M-League Nomination

Winter 2026 MLeague Dates

Round 1 – Monday 13 April

Name(Required)

First Last

Date of Birth(Required)

Player Email(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

Emergency Contact Name(Required)

First Last

Relationship to Player(Required)

Emergency Contact Mobile Number(Required)

Position #1(Required)

Position #2(Required)

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

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

Referred by

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