Event registration

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Details

CLUB NOMINATIONS - 2025/2026 Season

Tue 01 Jul 2025 08:00 - Tue 30 Jun 2026 15:00

Multiple Venues

Google · Outlook · iCal

First name*

Last name*

Phone number*

Email address*

Address*

ASQ Affiliated Club Name:

Aqualina

Gold Coast Mermaids

Neptunes

Visiting Club Name (for interstate teams - an invoice for athlete entry fees will be sent upon submission of this form)

Sydney Emeralds (NSW)

Team Manager Name:

Team Manager Email:

Volunteer Coordinator name

Volunteer Coordinator email

Accredited Coach Names: (Include ASA registration number and first/last name)* Max 255 characters

Athlete Nomination Form:

Choose file...

Max 5MB

Athlete Entry Fees:*

Please add names of Judges available to attend: (Include ASA registration number and first/last name)* Max 255 characters

Please add names of Technical Controllers available: (Include ASA registration number and first/last name)* Max 255 characters

Volunteers - Positions to be Filled / Changes to the Volunteer Roster: (Include ASA registration number and first/last name)* Max 255 characters

I am over 18, or, if I am under 18, this registration has been filled out by and endorsed by my parent or guardian.*