Tennis 12s (Bruce Cup) Interstate Nomination Form CommentsThis field is for validation purposes and should be left unchanged.Student DetailsName* First Last Date of Birth* Day Month Year Gender* Female Male Email* Enter Email Confirm Email Full School Name*Does your child have any medical conditions that the Team Officials need to be aware of?* Yes No Please provide details of this condition and who to contact in an emergency.*Parent / Guardian DetailsName* First Last Telephone*Email* Enter Email Confirm Email School Notification* I understand it is a parent/student responsibility to notify the school of this nomination. Team Specific DetailsCurrent Club*Current Coach*Coach Contact Number*
