PLACE PLAYER PHOTO HERE (photo not required for Non Players & Mini Magpies) CLUB USE ONLY
Please ensure that all details are correct prior to signing &
returning to your Club/Association coordinator. This information will be held in a
secure area by your Club and Association.
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First
Name |
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Last
Name |
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Address |
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City/Suburb |
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State |
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Postcode |
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Date
of Birth (mandatory) |
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Female q Male q |
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Home
Phone |
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Are you of Aboriginal or Torres Islander descent? Are
you from a non-English speaking background? Do
you have a disability? (To be used for
statistical purposes only) |
Yes q No q Yes q No q Yes q No q |
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Mobile Phone |
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E-Mail Address |
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NSW Netball Mailing List -
Would
you like to be on the NSW Netball e-mailing list in order to receive Netball
News & Updates via e-mail? |
Yes q No q |
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Occasionally the Association/Club takes photos of its competition
matches, these photos may appear on the Association/Club Website or forwarded
to local newspapers for publicity purposes |
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STATUS: q PLAYER (complete next section) q NON PLAYER
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Last Playing Level Details |
Age/Div |
Association/ Indoor Ctr |
Year/ Season |
Final Place |
Representative Exp Assoc
Year |
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Team Name |
Do you want to be in the same team as last year? |
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By signing this form, it is agreed the
member will abide by the Associations Constitution and By Laws, Codes of
Behaviour, Anti Harassment Policy, Child Protection Policy, Sports Injury
Insurance Policy Contact Club/Association to view these documents. I am
aware of the risks of playing netball with a pre-existing medical condition. I understand that it is the teams / players
responsibility to cover all assigned duties including umpiring and canteen.
Any fine incurred by my team will need to be paid by members of that
team. I agree to help my team to
fulfil these duties. |
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Parents / Carer Please
print your name
CLUB USE ONLY - This Section
for Late Registration
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Registering in Team Name: |
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Team No: |
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Grading
Committee Use Only |
Yes q No q |
Grading Committee (please initial) |
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NSW NETBALL PRIVACY POLICY
It is the policy of the NSW
Netball Association Ltd to comply with the Privacy Act. Personal information about you is only
obtained from information provided by you.
This data is collected by NSW District Associations affiliated with the
NSW Netball Association. Members can
change or gain access to their personal information by contacting their
District Association or by contacting the NSW Netball Association, PO Box 396,
Lidcombe NSW 1825, Tel: 02 9646 5666, Fax: 02 9646 5333, email: netballnsw@netballnsw.com