RM_StatsYour DetailsFirst Name *First NameFamily Name *Family NameEmail *EmailBest Contact Number *Phone (xx)xxxx xxxx or Mobile Number (04) xxxx xxxxAddress Details Address Line 1 Address Line 2 City State or Region Afghanistan Aland Islands Albania Algeria American Samoa Andorra Angola Anguilla Antarctica Antigua and Barbuda Argentina Armenia Aruba Australia Austria Azerbaijan Bahamas, The Bahrain Bangladesh Barbados Belarus Belgium Belize Benin Bermuda Bhutan Bolivia Bosnia and Herzegovina Botswana Bouvet Island Brazil British Indian Ocean Territory Brunei Darussalam Bulgaria Burkina Faso Burundi Cambodia Cameroon Canada Cape Verde Cayman Islands Central African Republic Chad Chile China Christmas Island Cocos (Keeling) Islands Colombia Comoros Congo Congo, The Democratic Republic Of The Cook Islands Costa Rica Cote D'ivoire Croatia Cuba Cyprus Czech Republic Denmark Djibouti Dominica Dominican Republic Ecuador Egypt El Salvador Equatorial Guinea Eritrea Estonia Ethiopia Falkland Islands (Malvinas) Faroe Islands Fiji Finland France French Guiana French Polynesia French Southern Territories Gabon Gambia, The Georgia Germany Ghana Gibraltar Greece Greenland Grenada Guadeloupe Guam Guatemala Guernsey Guinea Guinea-Bissau Guyana Haiti Heard Island and the McDonald Islands Holy See Honduras Hong Kong Hungary Iceland India Indonesia Iraq Iran Ireland Isle Of Man Israel Italy Jamaica Japan Jersey Jordan Kazakhstan Kenya Kiribati Korea, Republic Of Kuwait Kyrgyzstan Lao People's Democratic Republic Latvia Lebanon Lesotho Liberia Libya Liechtenstein Lithuania Luxembourg Macao Macedonia, The Former Yugoslav Republic Of Madagascar Malawi Malaysia Maldives Mali Malta Marshall Islands Martinique Mauritania Mauritius Mayotte Mexico Micronesia, Federated States Of Moldova, Republic Of Monaco Mongolia Montenegro Montserrat Morocco Mozambique Myanmar Namibia Nauru Nepal Netherlands Netherlands Antilles New Caledonia New Zealand Nicaragua Niger Nigeria Niue Norfolk Island Northern Mariana Islands Norway Oman Pakistan Palau Palestinian Territories Panama Papua New Guinea Paraguay Peru Philippines Pitcairn Poland Portugal Puerto Rico Qatar Reunion Romania Russian Federation Rwanda Saint Barthelemy Saint Helena Saint Kitts and Nevis Saint Lucia Saint Martin Saint Pierre and Miquelon Saint Vincent and The Grenadines Samoa San Marino Sao Tome and Principe Saudi Arabia Senegal Serbia Seychelles Sierra Leone Singapore Slovakia Slovenia Solomon Islands Somalia South Africa South Georgia and the South Sandwich Islands Spain Sri Lanka Sudan Suriname Svalbard and Jan Mayen Swaziland Sweden Switzerland Taiwan Tajikistan Tanzania, United Republic Of Thailand Timor-leste Togo Tokelau Tonga Trinidad and Tobago Tunisia Turkey Turkmenistan Turks and Caicos Islands Tuvalu Uganda Ukraine United Arab Emirates United Kingdom United States United States Minor Outlying Islands Uruguay Uzbekistan Vanuatu Venezuela Vietnam Virgin Islands, British Virgin Islands, U.S. Wallis and Futuna Western Sahara Yemen Zambia Zimbabwe Country Postcode Date of Birth *Date of BirthGender * Male Female Gender of player Nomination InformationI last played: *Select an optionCasually - never played rosterDivision 1Division 2Division 3Division 4What level did you last play at?I am nominating to play: *Select an optionDiv 1Div 2Div 3Div 4Fill-in OnlyNot sure - its my first time!Nominating for divisionWhen you nominate, the STBA will consider your grading performance (for new or returning players) or your previous division and performance in determining your placement. This may mean you are sometimes moved up or down position or division. The STBA will contact you if you cannot play in your nominated division. Fill in instructions: * I can fill-in in my division (if byes) I can fill-in in a higher division I can fill-in in either (my division or higher) I do not want to fill-in Fill-in instructionsProviding my details: * I give permission for my details to be published on the online and centre fill-in list.. I only give permission for my details to appear on the fill-in list at the STBA centre. I am not filling in. Fill-in details publishing permissionI would like to receive the monthly STBA newsletter by email. Yes please! Receive the monthly STBA newsletter?Terms and conditions *I accept these termsCode of Conduct I understand that as a player I am required to adhere to the rules of badminton and to the code of conduct outlined below: Players must not argue with an umpire's decision. Players must not harass, or verbally or physically abuse other players or officials. Players must not use obscene language. Players under 18 years of age must not leave the venue without consulting their team captain. Players must be ready to play, properly attired and courtside, when a game is due to commence. Players must not throw or abuse their racquet. Players must wear proper badminton clothing for all roster games. I understand that if I do not conform to the above code of conduct and to the STBA rules, that my games may be forfeited and that I could be refused permission to play in roster matches. I also agree to adhere to and be bound by the STBA by-laws and constitution.Terms and Conditions Payment DetailsOne roster is $40, or you can pay for 3 consecutive rosters at a discounted cost of $105. Payments can be made by Paypal or Credit Card following submission of this form, in person to the STBA Canteen or via direct debit/bank deposit. For the latter please use "Rego" and your name as the Direct Deposit reference (eg. Rego J. Smythe) so that we know who the payment was from. The STBA banking details are as follows: Name: Southern Tas Badminton Assn BSB: 067 002 Account: 2803 7309 If you need to make any notes about your payment, please provide them below: Payment comments:Payment commentsI am nominating for * 1 Roster 3 Consecutive Rosters If you have previously paid for 3 consecutive rosters including this one, please check this box. I have pre-paid for this roster. Pre-paid for roster?If paying online, select fee option, otherwise leave blank.Select an optionPennant Fee ($ 100)Online fee Emergency Contact DetailsFirst Name *First NameFamily Name *Family NameBest Contact Number *Phone (xx)xxxx xxxx or Mobile Number (04) xxxx xxxx Parent/Guardian Information (if player is under 18)If the nominating player is under 18 they need to provide the details of a parent or guardian. Parent/Guardian First NameParent/Guardian Last NameParent/Guardian Last name if player is under 18Parent/Guardian Contact NumberParent/Guardian Contact NumberParent/Guardian EmailParent/Guardian Email Any other information you wish to provideAny other information you wish to provide Note: It looks like JavaScript is disabled in your browser. Some elements of this form may require JavaScript to work properly. If you have trouble submitting the form, try enabling JavaScript momentarily and resubmit. JavaScript settings are usually found in Browser Settings or Browser Developer menu.
When you nominate, the STBA will consider your grading performance (for new or returning players) or your previous division and performance in determining your placement. This may mean you are sometimes moved up or down position or division. The STBA will contact you if you cannot play in your nominated division.
One roster is $40, or you can pay for 3 consecutive rosters at a discounted cost of $105.
Payments can be made by Paypal or Credit Card following submission of this form, in person to the STBA Canteen or via direct debit/bank deposit. For the latter please use "Rego" and your name as the Direct Deposit reference (eg. Rego J. Smythe) so that we know who the payment was from.
The STBA banking details are as follows: Name: Southern Tas Badminton Assn BSB: 067 002 Account: 2803 7309
If you need to make any notes about your payment, please provide them below:
If the nominating player is under 18 they need to provide the details of a parent or guardian.
