Senior Registration Form

Senior Registration Form

Name:______

Address: ______

Mobile Number: ______

Email Address: ______

Date of Birth: ___/___/___VNA Number: ______

Medical Information

In case of an emergency please contact:

Parent/Guardian listed above Yes/No (please circle): or

Emergency Contact #1

Name: ______Mobile: ______

Medicare Number: ______Ambulance Member No: ______

Do you have any Existing Medical Conditions/Injuries/Allergies that the Club should be aware of?

No/Yes – please advise ______

Does you take any regular medications that the Club should be aware of?

No/Yes – please advise ______

Preferred playing positions: Option 1 ______Option 2 ______

NEW PLAYERS TO THE CLUB

Please advise of your previous playing experience:

Never playedLow experience Medium experience High experience

Training

Please be aware that attendance at training is compulsory throughout the 2018 season, lack of commitment to training may effect court time. Training will be Tuesday or Thursday nights, final details of days and times to be provided once trials have been completed, team selections made and player/coach availability.

Please note SEFNL teams follow the Cranbourne Football Club draw and ground locations. Spectators 16+ will be charged an entry fee at all grounds.

Will you be available for the complete 2018 season?

Yes/No reason:______

______

Is there any further information you would like the Club to know:

Yes/No:______

Consent

I agree that playing fees will be paid in full by the timeframe provided, or other arrangements made with the Club's Treasurer in order to secure a position in the team offered.

I agree that Netball Victoria Membership/Insurance will also be paid before any practice matches commence.

I understand that the South East Football Netball League will be played under the rules as set out by Netball Victoria. I authorise any official from Cranbourne Netball Club, in the event of any injury or illness to use this personal information and obtain on my behalf any medical assistance, treatment and transportation deemed necessary.

I also agree to notify my coach if I have any medical conditions or taking any medications not detailed above before taking the court for training and/or matches.

I consent to photographs being taken while playing/training during the upcoming season which may be used in the Cranbourne Football & Netball Club's individual newsletters, presentation nights, Club advertising, newspapers and social media.

I have read, understood and agree to the above terms and I warrant that all information provided is true and correct

Player Signature: ______

Date: ______

Parent/Guardian Name (if under 18 years of age): ______

Parent/Guardian Signature: ______

Date: ______

*Please note all correspondence from Cranbourne Netball Club is provided via email, our facebook page or directly by the coach.