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Details

2027 State Selection Panel Nominations

Tue 23 Dec 2025 23:00 - Fri 17 Jul 2026 23:00

West Beach, Barratt Reserve, West Beach Road

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Basic details

First name*

Last name*

Phone number*

Email address*

Address*

Additional information

You are registered with which Club/Association*

Please attach your application here outlining how you meet the eligibility criteria and any other softball positions currently or previously held.*

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Max 5MB

Do you have a current Working with Children Check?*

I am willing to undergo a Working with Children Check and complete a Prohibited Persons Declaration as per Softball SA Member Protection.*

If you have a Working with Children Check please provide a copy

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Max 5MB

Have you completed any Sports Integrity Australia on-line courses?*

If you have completed any Sports Integrity Australia courses, please attach your certificate

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Max 5MB

1. Referee Name*

1. Referee Club/Association*

1. Referee Email*

2. Referee Name*

2. Referee Club/Association*

2. Referee Email*

Event Waiver

I make the following declaration.

1.I do not have any criminal charge pending before the courts.

2.I do not have any criminal convictions or findings of guilt for sexual offences, offences related to children, acts of violence or narcotics.

3.I have not had any disciplinary proceedings brought against me by an employer, sporting organisation or similar body involving child abuse, sexual misconduct or harassment, other forms of harassment or acts of violence or narcotics.

4.I am not currently serving a sanction for an anti-doping rule violation under an Australian Sports Anti-Doping Authority (ASADA) approved anti-doping policy applicable to me.

5.I will not participate in, facilitate or encourage any practice prohibited by the World Anti-Doping Agency Code or any other ASADA approved anti-doping policy applicable to me.

6.To my knowledge, there is no other matter that Softball South Australia may consider to constitute a risk to its members, employees, volunteers, athletes or reputation by engaging me.

7.I will notify the State Operations Manager of Softball South Australia immediately upon becoming aware that any matter set out above has changed.

8.I am a registered financial member of Softball SA and agree that Softball SA can request a WWC Clearance in accordance with Softball Australia's Member Protection Policy.