Thursday Night Mixed League Nomination Form Please enable JavaScript in your browser to complete this form.Name *FirstLastMobile Number *Email *Which Club are you from? *Full time player or reserve? *Full timeReserveIf reserve, please outline dates available:Play Ref & Go (ie. unable to supply/stay for supper, must stay for duration of all games)? *YesNoAny dietary requirements?Additional information that may help with you placement in a team (away for any length of time, etc):Comments or QuestionsSubmit Share this:TwitterFacebookLike this:Like Loading...