Trial Fee for*Please choose the relevant sport; SSWA needs to identify your payment to the correct trial NB: a trial payment is not a nomination, please also nominate for your sport via your Interstate Sport pagePlease Select Your TeamAFL 12sAFL 15s BoysAFL 15s GirlsCricket 12s BoysCricket 12s GirlsBaseballFootball (Soccer) 12s BoysFootball (Soccer) 12s GirlsFootball (Soccer) 16s BoysFootball (Soccer) 18s GirlsBasketball 12s BoysBasketball 12s GirlsBasketball 18s BoysBasketball 18s GirlsHockey 12s BoysHockey 12s GirlsHockey 16s BoysHockey 16s GirlsNetball 12s GirlsNetball 15s GirlsSoftball 17sTennis 12s BoysTennis 12s GirlsTennis 18s BoysTennis 18s GirlsTouch Football 12s BoysTouch Football 12s GirlsTouch Football 15s BoysTouch Football 15s GirlsVolleyball 15s BoysVolleyball 15s GirlsAmount you wish to pay SSWA?*Please add the amount you wish to pay including decimal point. e.g. Fifty dollars would be 50.00 - DO NOT include the $ sign. Student Name*Name of Student who payment is for? If paying for more than one person use "and" between names First Last Date of Birth* Day Month Year Parent Name*Name of Adult making this payment First Last Mobile* Email* Enter Email Confirm Email Credit Card* MasterCardVisaSupported Credit Cards: MasterCard, Visa Card Number Month010203040506070809101112 Year20232024202520262027202820292030203120322033203420352036203720382039204020412042 Expiration Date Security Code Cardholder Name Note to SSWA [if required]Do you wish to provide any further information about this payment?EmailThis field is for validation purposes and should be left unchanged.