NSW Country Team - Position Acceptance Link

Congratulations on your selection in the 2026 NSW Country Team! We are excited to see you represent NSW at the upcoming Australian Country Championships.

Please fill out this survey to accept your position into the program.

We look forward to providing more information soon.

If you have any questions in the meantime, please reach out to pathways@waterpolonsw.org.au

- Pathways Team.

Athlete Full Name*

Date of Birth*

DD/MM/YYYY

Primary Email Address*

Mobile Number*

At times we may contact you via Mobile number

Primary Club*

Mens or Womens team*

Mens

Womens

Emergency Contact Name*

Emergency Contact Number*

Do you have any medical conditions we may need to be aware of?*

E.g: Illness, injury, allergies, dietary requirements etc

Do you require transport from Melbourne Airport to Ballarat on either the 4th or the 5th of May?*

If yes, we will provide an arrival window for transfers.

Yes

How will you be travelling?*

Driving, Flying, other (please specify)

I understand I am required to book my own flights/organise my own transport to Melbourne/Ballarat?*

Yes

Are you available to arrive in Melbourne/Ballarat on the 4th May (one day earlier than normal) for team training sessions?*

Yes

Do you require new uniform?*

For those involved in the program last year you may use that uniform. You may be able to order jumpers as well as it may be cold in Ballarat.

Do you have any questions, comments or travel specific requirements?*

Do you understand that the program costs $2100 (+/- $200) + GST and that this must be paid in full prior to May 1st 2026.*

Yes

Do you understand that as a representative of WPNSW you must uphold the WPNSW code of conduct throughout the program?*

Yes

Please enter uniform sizes if you require uniform (this will be purchased separate to the program costs via Kap 7)*

Polo Shirt, Shorts, Hoodie - (XS/S/M/L/XL/2XL/3XL) - please note that hoodie sizes run slightly larger.

I accept my position in the 2026 NSW Country Team that will compete at the Australian Country Championships in Ballarat (May 6th - 9th)*

Yes

Water Polo NSW respectfully acknowledges the Traditional Custodians of the lands in which we are on. We pay our respects to Elders past, present and emerging.

We are committed to a positive future for all Aboriginal and Torres Strait Islander communities and to honor their ongoing cultural and spiritual connections to this country and recognise the role and value of culture.

We are a proudly diverse organisation, who actively celebrates LGBTIQ+ diversity, inclusion, and pride.

© 2026 Water Polo NSW