Tennis 18s (Pizzey Cup) Interstate Nomination Form Student DetailsName* First Last Date of Birth* Day Month Year Gender* Female Male Email* Enter Email Confirm Email Full School Name* Does your child have any medical conditions that the Team Officials need to be aware of?* Yes No Please provide details of this condition and who to contact in an emergency.Parent / Guardian DetailsName* First Last Telephone* Email* Enter Email Confirm Email School Notification* I understand it is a parent/student responsibility to notify the school of this nomination. Team Specific DetailsCurrent Club* Current Coach* Coach Contact Number* EmailThis field is for validation purposes and should be left unchanged.
