Country Championships Player Recognition Form

Please use this form to register your playing history for 30, 40 & 50 years at the Victorian Country Championships

Select your age range*

Male

Female

Non-Binary

Differently identify

Enter your post code*

What is the name of yourself or the person you are nominating?*

Which club have you or the nominee represented for the majority of your playing time at Country Championships?*

How many years have you been playing in the Country Championships?*

When did you start playing?

Which period of recognition are you nominating for?*

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