2025 THA Selectors Nomination

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Details

Nominations Open Wednesday 13th November

Clyde Park, 564 Boundary St, Glenvale QLD 4350, Australia

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Basic details

First name*

Last name*

Phone number*

Email address*

Address*

Additional information

Which Club are you affiliated with*

Please indicate which role you are nominating for?*

Do you have a Blue Card?*

Is your Blue Card linked to the THA Blue Card Register?*

Blue Card #*

Blue Card Expiry Date*

Have you completed the Play by the Rules Child Protection Online Course*

Play by the Rules Certificate #*

Play by the Rules Certificate Expiry Date*

Please give a brief outline of your experience and relevant Accreditations* Max. 255 characters

Referee - please enter the name and mobile number of one Referee* Max. 255 characters

Terms Of Registration

The Chair of Selectors, in collaboration with the relevant team coaches, and when necessary, the Coaching Manager, forms a committee to select THA's representative teams, which are then submitted to the THC for approval.

For more information, please refer to THA By Laws 8.6.5 Composition and Appointment of Selection Panel. A copy can be found by downloading HERE.

Click HERE to view more details of the THA Rep Player Selection Process.

Note: The THA Selection Panel will take previous experience into consideration when appointing Officials and may offer you a position you have not indicated as a preference.

I confirm that I have read the above Terms Of Registration in its entirety.*

I agree to the Terms Of Registration.*

I am over 18, or, if I am under 18, this registration has been filled out by and endorsed by my parent or guardian.*

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