"*" indicates required fields Team Name* Team Address* Street Address City State / Province / Region ZIP / Postal Code Team Contact* First Last Contact Number*Contact Email* HiddenCompetition* Saturday Weekly Sunday Fortnightly Age Group* Seniors Juniors Senior Competition* Saturday Weekly Sunday Fortnightly Sunday T20 Fortnightly Junior Competition* Under 12s Weekly Saturday Under 12s Weekly Sunday Under 12s Girls Weekly Saturday Under 12s Girls Weekly Sunday Under 13s Weekly Saturday Under 13s Weekly Sunday Under 13s Sunday T20 Under 14s Weekly Saturday Under 14s Weekly Sunday Under 15s Weekly Saturday Under 15s Weekly Sunday Under 16s Weekly Saturday Under 16s Weekly Sunday Under 16s Sunday T20 Saturday Seniors Grade Preference* First Grade Second Grade Third Grade Grade Preference* First Grade Second Grade Gender* Boys Girls Preferred Home Ground(s)*Ground use subject to approval Add RemoveTerms* *I understand that I am solely responsible for ensuring individual registration of players via BOTH wintercricket.net.au and Player Registration via PlayHQ (Particpant Insurance is via PlayHQ Registration ONLY). Teams must be entered within PlayHQ by 10pm the evening preceding match day. Signature*Nomination fees can be paid online via PayPal, or via bank transfer/PayID prior to submitting the form. Bank Transfer: Winter Cricket BSB: 670-864 A/C: 18015102 or... PayID: [email protected]Payment Method*Online payments incur a processing fee Pay online Bank transfer / PayID Receipt*Max. file size: 50 MB.Senior Saurday Weekly Team Nomination Fee* Price: Senior Sunday Fortnightly Team Nomination Fee* Price: Senior Sunday T20 Fortnightly Team Nomination Fee* Price: Under 12s Team Nomination Fee* Price: Junior Team Nomination Fee* Price: Processing Fee* Price: $ 0.00 Total Payment Method*PayPal Checkout MasterCardVisaSupported Credit Cards: MasterCard, Visa Card Number Expiration Date Security Code Cardholder Name Without this field having conditional logic for online payments the total won't factor in the fees for some reasonNameThis field is for validation purposes and should be left unchanged.
