Boys & Girls Under 19s, 17s, 15s, 13s, & 11s Entry Forms available @ www.squash.org.au Completed entry forms should be emailed to: development@squash.org.au Players may only enter one event All players MUST enter through Squash Australia All players MUST have a WSF SPIN No. Labrador Squash Centre, Gold Coast January 15 th to 18 th, 2016 WSF World Junior Circuit Event Tier 3
OCEANIA JUNIOR CHAMPIONSHIPS 2016 Closing Date for Registrations: Labrador Squash Centre, Gold Coast, Queensland, Australia Friday 15 th Monday 18 th January 2016 INDIVIDUAL REGISTRATION FORM 5.00pm Friday 4 th December 2015 (return to development@squash.org.au) TAX INVOICE Squash Australia ABN 73 072 625 935 Player s Name Date of Birth Email (print clearly) Address State/Territory Country 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 Australia s Junior Championships Regulations: The Player will be accompanied by (please print clearly): Coach Parent Other U11 s BOYS U13 s BOYS U15 s BOYS U17 s BOYS U19 s BOYS Please mark with X the desire level of competition the player wishes to enter U11 s GIRLS U13 s GIRLS U15 s GIRLS U17 s GIRLS U19 s GIRLS Associated Club/Centre National Ranking I acknowledge that the Player Entry fee of $65.00 (GST inc.) and this Nomination Form is required to be paid and lodged by the closing date to Squash Australia. Entry Fee: Payment being made: I wish to purchase event: T-Shirt $45.00 Polo Shirt $55.00 Ladies Singlet $45.00 Merchandise: Qty: Subtotal: Sizes available (Please check size carefully as shirt cannot be exchanged) Men s S M L XL XXL Other Total Payment: $ GST Inclusive Ladies 10 12 14 16 18 Other (A copy should be maintained as an invoice) Kids 10 12 14 16 The payment will be made by: Electronic Transfer BSB 064 162 A/C 10129098 with reference OJC [your name] Cheque attached Swift Code: CTB AAU2S Player s Name: Parent /Guardian s Name: Member Association Endorsement: Association Name: Authorised Representative Name: Note: Both signatures are required for underage players. (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 you country/ state or territory association by Squash Australia). Position: Oceania Junior Championships Nomination Form
CONDITIONS OF ENTRY Oceania Junior Championships The Conditions of Entry are as follows: 1. Players entering the Championships agree to: 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 Australia to use any photographic or video imagery taken of the player to be used by the Oceania Squash Federation Squash Australia 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 Australia 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. 2. I acknowledge that I am subject to the World Squash Federation (WSF), Oceania Squash Federation and Squash Australia 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 Australia Junior Championships d. WSF & Squash Australia Anti-Doping Policy e. WSF & Squash Australia Member Protection Policy f. WSF & Squash Australia Anti-Match Fixing g. WSF & Squash Australia Players Clothing h. WSF & Squash Australia Players Equipment i. WSF & Squash Australia Protective Eyewear j. WSF & Squash Australia 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 will not be refunded to suspended players. Player s Name: Parent /Guardian s Name: Note: Both signatures are required for underage players. Member Association Endorsement: (Please list country) Authorised Representative Name: Squash Australia Sports House, Office 9 150 Caxton Street, Milton, Queensland, 4064 Tel 07 33673200 Fax 07 33673320 development@squash.org.au Oceania Junior Championships Nomination Form