2024 Senior Mens, Womens and Under 19 Townsville Brolgas Player Nomination Form
This form will serve as an Nomination for the 2024 Senior Brolgas Womens, Men's and Under 19s teams. Note: for all players to participate in the Brolgas/QCRU pathway they must be registered to a TDRU Affilliated club.
More info on the Pathway
Following Selection a trial game will take place in Cairns (27th April), this is a one-day trip, and a bus will be provided if required by players. This will have a cost of less than $100, this includes playing kit, and transport. Rockhampton Queensland Country Championships (28-30th June), a bus will be provided to & From. An estimated cost for this trip is $1000, including playing kit, accomodation, transport. Queensland Country pathway if picked, will be held in september with dates yet to be released.
Name
*
First Name
Last Name
Date of Birth
-
Month
-
Day
Year
Date
Rep Team you are Nominating for
*
Senior Mens
Under 19s (Men's)
Senior Womens
Current Club
*
Preferred Position
*
Second Position
*
Mobile Phone Number
*
E-mail
*
Availability: NQ Trials vs FNQ @ Barlow Park- Saturday 27th April 2024
*
Yes
No
Will you require transport (Bus) To & From Cairns,
*
Yes
No
Availability: QLD Country Champs - Rockhampton 28th-29th-30th June 2024
*
Yes
No
Mens/ Womens Shorts Size
Mens/ Womens Jersey Size
Further Comments
Signature
Nominate
Should be Empty: