2015 england lions trial application form
DESCRIPTION
Complete the application form and send back to [email protected] to take part in our 2015 Open Trials... applications now open until Sunday 19th April 10pmTRANSCRIPT
Affiliated to UK Dodgeball Association – the National Governing Body for DodgeballEngland Lions │ Power . Precision . Pride│ www.englandlionsdodgeball.co.uk │ [email protected]
SATURDAY 25th APRIL 2015
OPEN INTERNATIONAL
ENGLAND DODGEBALL TRIAL
Affiliated to
Who is the trial for?Players aged 16 and above who are of English nationality and are passionate about representing their country at dodgeball. For player eligibility regulations see: http://www.ukdba.org/#/international/4544109252
Talent Identification Scouts will be looking for the best players to put forward for a second trial, which will consist of integration into a training session with current members of the academy squads.
Why England Lions?England Lions has made a promise to select and develop the very best English players into a world-beating side. We are the reigning European Champions in all competitions and we aim to stay there. With the very best coaches and support available, we aim to develop a squad ready to take on any nation at any time.
Where will the trials be held?The trials will be held at:Munrow Sports Centre, University of Birmingham, Edgbaston Campus, B15 2TT
The university has its own train station a 5 minute walk away from the sports centre (University Birmingham), and ample parking on site. More information about where to go on arrival will be sent nearer the trial.
The trial itself will take place across two different halls. There is limited viewing space and since this is only for one hall there is no guarantee that any guests would be able to watch/ support particular trialists.
What will happen on the day?The trial will involve fitness tests, scenarios and game play. Registration will be at 12pm, with trials finishing no later than 4pm.
What do I need to bring to the day?1. Identification for eligibility- preferably in the form of a British passport or driving
license 2. Your candidate no. and safety pins (your candidate number will be sent to you
to print on receipt of your application)
When is the second trial?If successful, you will be invited to a closed trial on Sunday 24 th May , 2.30pm-6pm at Enderby Leisure Centre, Mill Lane, Enderby, Leicestershire, LE19 4LX.
How do I apply? Complete the form below and return to [email protected] before midnight on the 13 th April 2015 . The form should be fairly straightforward to edit and a typed signature will suffice. Those who do not submit an application form by this date will not be able to attend the trials.
Affiliated to UK Dodgeball Association – the National Governing Body for DodgeballEngland Lions │ Power . Precision . Pride│ www.englandlionsdodgeball.co.uk │ [email protected]
For more information contact: [email protected]
A £5 trialling fee will be required on the day of trials in order to cover the costs of the event. More details will be provided once your application has been received and processed.
You will be expected to wear appropriate sports clothing and footwear that doesn't cause any threat of injury to yourselves or others. You may wish to bring food and drink as lunch will NOT be provided. Dodgeballs and all other equipment will be provided on the day.
Personal possessions will be kept at your own risk to one side of the hall that you are trialling in, and may not always be accessible.
Affiliated to UK Dodgeball Association – the National Governing Body for DodgeballEngland Lions │ Power . Precision . Pride│ www.englandlionsdodgeball.co.uk │ [email protected]
TRIALIST DETAILS
Player’s Full Name:
Trialling/eligible for (please circle all that apply)
Men’s Senior Women’s Senior U21 (Under 21 on 30/06/2015)
Date of Birth:
Address:
Post Code:
Tel no.:
Mob no.:
Email:
Team you currently play for:
Team you will be playing for during 2015/16 season:
Positions/Roles (please circle all that apply)
Thrower Catcher Retriever Blocker Runner
How long have you been playing Dodgeball?
Detail below any achievements in Dodgeball so far (e.g. University Championships 2014 Gold):
I declare that the above information is accurate and honest; if found to be incorrect I accept this could ultimately result in sacrificing any offer of a place in the England Lions Academy.
Signed: Date :
Affiliated to UK Dodgeball Association – the National Governing Body for DodgeballEngland Lions │ Power . Precision . Pride│ www.englandlionsdodgeball.co.uk │ [email protected]
FITNESS DECLARATION AND MEDICAL DETAILS
By signing this form I declare that I am the player named above and that I am fully fit to participate in a training/ trialling period with England Lions Dodgeball. In the event of me sustaining any injury whilst playing or training with England Lions Dodgeball during my trial period, I agree that England Lions Dodgeball are in no way liable.
Does the trialist:
· Have a medical condition requiring medical treatment or medication? YES NO
· Have an allergy to certain medications? YES NO
· Is he/she able to administer his/her own medication? YES NO
Please give details of medical condition/treatments, allergies to medications, or any other medical issues to bring to the coaching team’s attention below:
Has he/she been in contact with any contagious or infectious diseases or suffered from anything in the last four weeks that may become contagious or infectious? YES NO
If yes, give details:
Does he/she have any special dietary requirements?
If yes, give details:
EMERGENCY CONTACT INFORMATION
MAIN ALTERNATIVE
Affiliated to UK Dodgeball Association – the National Governing Body for DodgeballEngland Lions │ Power . Precision . Pride│ www.englandlionsdodgeball.co.uk │ [email protected]
FAMILY DOCTOR DETAILS
Name:
Address:
BEFORE SIGNING THIS FORM it is important to understand that whilst the coaching staff will take all reasonable care of the player, neither they, nor England Lions Dodgeball, can necessarily be held liable with respect to loss of or damage to property or injury suffered by the person arising out of the trial, unless such loss, damage or injury results from the negligence of England Lions Dodgeball and its official volunteers.
Please be aware that any information provided by you will be held by England Lions Dodgeball on its computer databases and used for administering your involvement in England Dodgeball. Please let us know if you do not wish us to contact you via email or telephone in order to promote the sport.
Signed: Date
By parent / guardian if under age of 18:
Thank you for taking the time to fill out this application.
JESS GOSHAWKEngland Manager
Affiliated to UK Dodgeball Association – the National Governing Body for DodgeballEngland Lions │ Power . Precision . Pride│ www.englandlionsdodgeball.co.uk │ [email protected]
SPORTICUS is England Lions Dodgeball’s Official Ball Sponsor; they sell official UKDBA approved dodgeballs at low prices and can bespoke them to meet your needs. Mention us when ordering and get your dodgeballs at a discount rate.