This form is to be used if you are nominating for a Metro League team and/or a State Titles team (you may apply for both). Please complete the following fields.
Please note that unless spoken to by the selectors you will only be considered for the teams that you have indicated
A NON REFUNDABLE deposit of 100 dollars is required upon acceptance of a position in a 2019 CDNA Metro league team.
Direct Debit: BSB: 082-494 A/C: 03779 0202 (Use player name as reference)
Cheques are payable to CDNA Rep Account - P.O Box 121, Minto, NSW 2566.
An email will be sent to you confirming the details submitted.