OCEANIA JUNIOR CHAMPIONSHIPS

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1 Players Name Date of Birth (print clearly) Address State/Territory Country The Player will be accompanied by (please print clearly): Coach Parent Other Entry Fee: Ladies Singlet NZ$45.00 (gst incl.) T-Shirt NZ$45.00 (gst incl.) Apparel: Qty: (Please check size carefully as merchandise cannot be exchanged) Apparel total: NZ$ Mens: Size Choice:... Qty:... Refer to Pg 3 for Ladies: Size Choice:... Qty:... Total Payment: $ options Kids: Size Choice:... Qty:... (gst incl) Preferred name/s for printing (please print clearly): The payment is to be made by: Electronic Transfer - with reference: OJC (+ your name) Bank: Westpac Branch: Henderson Address: 362 Gt North Rd, Henderson, Auckland Acc Number: Swift Code: WPACNZ2W Player's Name:... OCEANIA JUNIOR CHAMPIONSHIPS 2017 Henderson Squash Club, Henderson, Auckland, NEW ZEALAND Dates: Friday 14th - Monday 17th April 2017 INDIVIDUAL REGISTRATION FORM Closing Date for Registrations: 5.00pm Friday 29th March 2017 Closing Date if purchasing apparel: Wed 15th February 2017 (return to NZ$ Signature:... Parent/Guardian:..... Signature:... Note: Both signatures are required for the underage players. Member Association Endorsement: (If unable to have this section signed by country' state representative please submit and it will be checked that you are registered and financial with your country's' state or territory association by Squash NZ) Association Name:..... Authorised Representative Name: Telephone Town/Suburb Postcode On behalf of our Member Squash Association, I hereby submit for seeding purposes the following player to compete in the Oceania Junior Championships, in accordance with the current WSF, OSF and Squash New Zealand's Junior Championships Regulations: Please mark with "X" the desire level of competition the player wishes to enter Associated Club / Centre U11's BOYS U13's BOYS U11's GIRLS U13's GIRLS U15's BOYS U15's GIRLS U17's BOYS U17's GIRLS U19's BOYS U19's GIRLS I acknowledge that the Player Entry fee of NZ$50.00 (gst incl) and this Nomination Form is required to be paid and lodged by the closing date to Henderson Squash Club. I wish to purchase event apparel and acknowledge the earlier closing date of Wednesday 15th February TAX INVOICE Henderson Squash Club GST No: National Ranking Payment being made: (A copy should be maintained as an invoice) Position: Signature: of 5 Oceania Junior Championships Nomination Form

2 CONDITIONS OF ENTRY Oceania Junior Championships Henderson Squash Club 63 Buscombe Ave, Henderson Auckland, New Zealand Tel The Conditions of Entry are as follows: 1) Players entering the Championships agree to: 2) a. Refrain from any conduct, which would bring the sport into disrepute; b. Abide by the spirit, as well as the letter of the Rules of Squash; c. Comply with the reasonable directions of tournament officials; d. If under the legal age limit, not consume any alcohol; e. Irrespective of age, not consume any prohibited drugs. Any player found to be under the influence of any prohibited drug during the course of the tournament will be in breach of these conditions; f. If over the legal age limit, not consume any alcohol in the presence of under-age people or on the premises where the tournament is being conducted (including any location participants are housed/accommodated). Any player found to be intoxicated during the course of the tournament would be in breach of these conditions; g. Participate in any random drug testing conducted by the appropriate authority; h. The player gives their permission for the Oceania Squash Federation and Squash New Zealand to use any photographic or video imagery taken of the player to be used by the Oceania Squash Federation and Squash New Zealand in printed publications, on the internet or in other electronic formats for press or print purposes. If my image is used, the player consent, without further consideration or compensation to the use (full or part) of images taken of the player for the purposes of illustration, broadcast or distribution of any manner. The player understands the negatives and print remains the property of Squash New Zealand and that there will be no restrictions on the number of times the image is used. The player accepts that no payment is due in respect of this authority and that no further payments to the player are/is required at any time. i. Any Appeal lodged by me or on my behalf when adjudicated upon in accord with Championship regulations is final. j. All players competing in all age groups in WSF World Junior Circuit events must have SPIN registrations which can be obtained here I acknowledge that I am subject to the World Squash Federation (WSF), Oceania Squash Federation and Squash New Zealand's Regulations as listed, given my membership of my Country Association and particularly while participating in these Championships; a. WSF World Junior Circuit b. Oceania Squash Federation Junior Championships c. Squash New Zealand Junior Championships d. WSF & Squash New Zealand Anti-Doping Policy e. WSF & Squash New Zealand Member Protection Policy f. WSF & Squash New Zealand Anti-Match Fixing g. WSF & Squash New Zealand Protective Eyewear h. WSF & Squash New Zealand Disciplinary Matters By signing this entry form, I/We accept the conditions of entry outlined above. I/We state that I am a registered, resident and insured member with my Country Squash Association and my date of birth is as stated below. I/We acknowledge that any breach of these conditions is to render me/my child liable for suspension from the Championships and banned from attending any premises associated with the tournament, by the Tournament Organising Group. Tournament entry fees with not be refunded to suspended players. Player's Name: Signature:... Parent/Guardian's Name: Signature:.. Note: Both signatures are required for underage players. Member Association Endorsement: (Please list country).. Authorised Representative Name:. Signature:.. 2 of 5 Oceania Junior Championships Nomination Form

3 Oceania Junior Championships Merchandise T-Shirts Measure your chest around the fullest part, placing the tape close up under yhour arms. For uour wast measure around your natural wasteline Ladies Singlets Place the tape measure under your rms and run it around the fullest part of your bust and across your shoulder blades. For uour wast measure around your natural wasteline Size Chart Mens Garments: body (inches) Ladies Garments: body (inches) Kids Garments: body (iches) NB: Larger sizes are availble for Mens (5XL, 7XL) & Ladies (L22, L24). If required please for more details. 2XS XS S M L XL 2XL 3XL L6 L8 L10 L12 L14 L16 L18 L J4 J6 J8 J10 J12 J14 J * The above measurements are intended as a guide only and while we do our best to ensure all our sizing is consistent, you may find that some of the styles will vary in size. 3 of 5 Oceania Junior Championships Nomination Form

4 2017 Oceania Accommodation Options Quality Hotel Lincoln Green 159 Lincoln Rd, Henderson Online bookings: Phone bookings: Group discounts for 5 or more rooms A K West 65 Swanson Rd, Henderson bookings: Online bookings: Phone bookings: Quest Henderson 12 Wadier Pl, Henderson Online bookings: Phone bookings: of 5 Oceania Junior Championships Nomination Form

5 5 of 5 Oceania Junior Championships Nomination Form

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