STATE TEAMS - 2024 Hockey NSW Country Nomination

Please read the following Hockey Australia eligbilty policy to make sure you adhere to it before nominating.

HA Country Championships - Regulations & Eligbilty

If you have any questions please contact Pathways Team - pathways@hockeynsw.com.au

Personal/Playing Details

Full Name*

Email Address*

Contact Number*

What POSITION/S do you play?*

What Team are you nominating for?*

What COUNTRY ASSOCIATION are you registered for?*

What ASSOCIATION are you representing at the Open State Championships?*

Eligibility Details

Do you reside in the SYDNEY/METROPOLITAN area?*

If Yes, is this for University purposes?

Have you played in a NSW COUNTRY competition this season?*

If Yes, which one?

Have you represented HOCKEY NSW/NSW PRIDE in the past 12 months at the U21 or Hockey One League level?*

Have you represented ANOTHER STATE/TERRITORY in the past 12 months at the U21 or Hockey One League Level level?*

Have you played SYDNEY PREMIER LEAGUE 1 (Men) OR METROPOLITAN LEAGUE 1 (Women) this season OR been graded at this level?*

If Yes, who for?

Disclaimers

The Australian National Country Championships location is currently Shepparton, VIC. Flights will be (4/8/23) and (14/8/23). The player levy is estimated to be around $3,000. This is not an exact amount. If you have any questions regarding this please feel free to contact Corey Dehn, Hockey NSW State Teams and Sport Operations Administrator. Given all this information, are you still nominating?*

If you are under 18 years old please list the name of the consenting parent/guardian for this nomination.

Personal/Playing Details

Eligibility Details

Disclaimers

You are ineligable for the Australia Country Championships. Please contact James Psarakis - james.p@hockeynsw.com.au if you have any questions.