Are you attending this event?

Yes No

Basic details

First name*

Last name*

Phone number*

Email address*

Address*

Additional information

Club*

Do you have a Blue Card?*

Senior Men 2-5 May 2025 SHC Colmslie

Selector

Coach

Manager

Senior Women 2-5 May 2025 SHC Colmslie

Selector

Coach

Manager

Masters Men 34+ 45+ 55+ 2-5 May 2025 Tweed

Selector

Coach

Manager

Umpire

Tech Official

Masters Men 60+ 6-10/8/25 Hervey Bay

Selector

Coach

Manager

Umpire

Tech Official

Masters Women No 1 13-15/6/25 Cairns

Selector

Coach

Manager

Umpire

Tech Official

Masters Women No 2 13-15/6/25 Cairns

Coach

Manager

Umpire

Tech Official

Under 12 Boys - Zone/Coulter Shield

Selector

Coach

Manager

Umpire

Under 12 Girls - Zone/Southern Cross

Selector

Coach

Manager

Umpire

Event Waiver

By nominating on line:

I am willing to nominate for the selected position
I agree to fulfil the duties of the role to which I am elected
I agree to abide by the MDHA Code of Conduct when acting on behalf of the Association should I be elected.
I will provide my Blue Card number to the MDHA upon appointment or apply for one if required.

I confirm that I have read the above Event Waiver in its entirety.*

I agree to the Event Waiver.*

2025 MDHA Representative Teams

Already a member?

Details

Are you attending this event?

Basic details

Additional information

Event Waiver

Sponsors

We Support