Representative Nomination Form

Eligibility

Gender

Current School Year

Player's Contact Details

Player First Name

Player Last Name

Player Address (Optional)

Home Phone

Primary Email

Primary Mobile

Club/school (Optional)

Grade Playing (Optional)

Player Type

Batsman Type

Bowling Type

To be trialled as a keeper? Yes
No

Nominators Details and Comments

Nominators Name (Optional)

Nominators Phone (Optional)

Nominator Email (Optional)

Nominator Capacity (Optional)

Is Nominator able to help with a team? (Optional)

Comments/player unavailability? (Optional)

New Zealand Cricket