SSWA Basketball Allstars Nomination Form Student Name* First Last Student Gender* Female Male Date of Birth*DayDay12345678910111213141516171819202122232425262728293031MonthMonth123456789101112YearYear202720262025202420232022202120202019201820172016201520142013201220112010200920082007200620052004200320022001200019991998199719961995199419931992199119901989198819871986198519841983198219811980197919781977197619751974197319721971197019691968196719661965196419631962196119601959195819571956195519541953195219511950194919481947194619451944194319421941194019391938193719361935193419331932193119301929192819271926192519241923192219211920Student Email* Student Mobile*School*Parent Name* First Last Parent Email* Media Consent I consent I do not consent I give permission for photographs, video recordings, and any other media taken of the nominated individual while representing SSWA can be used at the organisation’s discretion. This may include, but is not limited to, use in print materials, online platforms, social media, promotional content, and publications. I understand that these materials may be used without further notice to me, and I consent to their use for purposes related to promoting or documenting the organisation’s activities.
