Allstars Basketball Nomination Form

Student Name*
First Last
Student Gender*
- Female
- Male
Date of Birth*

Day
Month
Year
Student 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.