2015 Junior Gold Cup Player Nomination form

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Dear Player,
Nominations are now open for the 2016 Junior Gold Cup program.
Trials for the specific Junior Gold Cup Centres will be taking place across QLD in October. Each Centre will run
2 trials. All players will be expected to be available to attend both trial dates. If a player cannot attend one
of the dates for any reason they will need to contact their Centre Coordinator to notify him.
Any player wishing to attend these trials must complete the Player Nomination form below and send by
return email to the Sunshine Coast Junior Gold Cup Centre Coordinator, Greg Marshall rugby@ctit.com.au
by COB Monday 16th November 2015
Northern Conference Teams
This will depend on age groups
Under 15s
Pool C
Brisbane
Brisbane
Darling Downs
Sunshine Coast
North Queensland
Ipswich
Pool D
Western Australia
Gold Coast
Logan
Central Queensland
Brisbane
North coast
Under 17
Pool C
Brisbane
Sunshine Coast
North Queensland
Darling Downs
Pool D
Western Australia
Northern Province
Central
Queensland
Gold Coast
Trial Dates- Sunshine Coast Centre:
Please note, these are tentative, they will be confirmed as soon as possible
Day 1– Wednesday 18th November 2015 at Noosa Rugby Club
 Under 15s and 17s from 6pm to 8pm
Day 2 – Saturday 21st November 2015 at Caloundra Rugby Club
 Under 15s and 17s from 9:30am to 11:30am.
On both days please arrive 1Hr before the trials start to help complete paperwork etc
Centre selection eligibility criteria
Players will only be eligible to trial for one (1) Centre throughout QLD.
The eligibility criteria for a Centre is outlined below:
1. Current Address
2. Location of school the player currently attends
3. Location of Junior Rugby club the player is currently/was last registered for
If a player has qualified through one or more of the above criteria he will be eligible to trial for that Centre.
If you have any questions in relation to the Junior Gold Cup program in 2015/16 please feel free to contact
either the Sunshine Coast Junior Gold Cup Centre Coordinator, Greg Marshall (rugby@ctit.com.au) or the
Queensland Program Manager Lachlan Parkinson on lachlan.parkinson@qru.com.au
Junior Gold Cup - Player Nomination Form
(Please complete the shaded areas, save the file with your name & return via email)
Player Details
Player’s Name
DOB:
Address
Suburb
Email
Emergency Contact
Emergency Contact No:
Born 2001 or 2002:
Born 1999 or 2000:
I’d like to nominate for
Please circle:
(or
delete
the
other
age
group)
U15
U17
which Age Group?
Position/s
1.
2.
3.
School
Current or Previous Club
Playing History
Year
Club/School
Team
Position
Player Description
Strengths
Improvements that can be Made
Nominator – Details
Name
Position
Contact Phone Number
Email Address
Please return completed forms to: Greg Marshall- Junior Gold Cup Centre Coordinator by COB Monday 16th
November 2015. Email: rugby@ctit.com.au
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