2020/21 Softball Scholarship Nomination Form (2005 Born)

dd/mm/yyyy

Must be different to Athlete E-mail

The program is open to male and female softball players born in 2005.

  • Athletes must be registered with a Softball NSW Affiliated association within the South West Sydney region (Campbelltown, MacArthur or Southern Districts) and must be registered with Softball NSW.

  • Athletes must reside, OR attend school OR be registered with a softball club within the Academy region, Campbelltown, Camden, Liverpool and Wollondilly Council areas.

  • The athlete must be committed to progressing to higher representation within the sport of Softball.

To allow South West Sydney Academy of Sport to use photographs, sound and film recordings taken of me or my child/ward at this program for the promotion of South West Sydney Academy of Sport services and initiatives to the media and the general public.

The South West Sydney Academy of Sport will collect and store the information you voluntarily provide to enable processing of nominations for the program. The information will be provided to relevant staff, and to medical professionals where necessary. By providing South West Sydney Academy of Sport with the information you consent to these disclosures. Any information provided by you will be stored on a database that will only be used for the purpose for which it was collected. Any information provided by you to the South West Sydney Academy of Sport can be accessed by you during standard office hours and updated by writing to the Academy, or on 4627 7622.

In the case of an emergency, I authorise the South West Sydney Academy of Sport,  to arrange for my child/ward to receive such medical or surgical treatment as may be deemed necessary, where it is impracticable to communicate with me. I also understand  I must pay or reimburse costs which may be incurred for medical attention, ambulance transport and medication while my child/ward is attending the Program Trials. I understand that although South West Sydney Academy of Sport and it's service providers attempt to minimise any risk of personal injury within practical boundaries, accidents do happen and all physical activities carry the risk of personal injury. I acknowledge that there is an inherent risk of personal injury in physical activities that will be undertaken at the trials as part of the program and I accept that risk.

South West Sydney Academy of Sport is a registered Covid Safe not-for-profit organisation and is committed to keeping its Athletes, Coaching Staff, Parents and the community happy, healthy and safe.

I am nominating for a 2020/2021 South West Sydney Academy of Sport Scholarship. I have read, understood and accepted the relevant privacy statements, risk warnings and I certify that all information supplied is true and correct. I am aware of and agree to meet my obligations and expectations should I receive a 2020/2021 Scholarship.

I give permission for my child/ward to apply for a 2020/2021 South West Sydney Academy of Sport Scholarship. I have read, understood and accepted the relevant privacy statements, risk warnings and I certify that all information supplied is true and correct. I am aware of and agree to meet the obligations and expectations should my child/ward receive a 2020/2021 Scholarship.

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PO Box 307 Macarthur
Square NSW 2560