2017 Netball4Life Clinic Registration Form

    Netball4Life

    Participant Details

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    Medical Information

    The medical information you provide will only be used in the event of injury, illness or emergency, if required.
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    Emergency Contacts

    Please provide the following contact details for two emergency contacts.
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    Parent/Guardian Details

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    Terms and Conditions

    MEDICAL TREATMENT CONSENT: I understand that netball is a limited contact sport and that there is a risk of injury involved in participating in netball related activities. I authorise any official from Netball4Life, in the event of any injury or illness, to obtain on my child’s/ward’s behalf and at my expense any medical assistance, treatment and transportation as deemed necessary. IMDEMNITY: Except where provided or required by law and such cannot be excluded, I agree that Netball4Life and its respective directors, officers, members, servants or agents are absolved from all liability however arising from injury or damage to my child/ward, however caused, arising whilst participating in any Netball4Life activity. IMAGE CONSENT: I provide consent for Netball4Life to record my child’s/ward’s image (photograph or video footage) for promotional purposes. I understand my child’s/ward’s image may be used in mediums including: publications and promotional material, and broadcast, print and electronic media. I acknowledge that my child’s/ward’s image will be used without any personal compensation or remuneration. I agree to forgo any rights to my child’s/ward’s image including moral rights and copyright. PERSONAL INFORMATION: I understand my personal information will be used for management and registration purposes. I understand my personal information will be kept on file by Netball4Life and occasionally Netball4Life may send me promotional material. Netball4Life won’t divulge any of my personal information to a third party. REGISTRATION INFORMATION: Once your booking registration form has been received and payment has been completed you will be sent an invoice and a registration confirmation to the email address provided. All bookings must be paid for 7 days prior to attending the clinic to confirm registration. Netball4Life has a 48hr cancellation policy. Cancellations received outside of 48 hours of the clinic date will be eligible for a full refund. Cancellations received within 48 hours of the clinic date will only be eligible for a 50% refund. In the event of injury or illness (and on presentation of a medical certificate) you will be refunded your full registration fee. Substitutions are allowed as long as we are notified by email of the change (info@netball4life.com).
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    Payment Information

    Registration for all school holiday clinics costs $40 per child for the 7-14yr clinics and $28 per child for the 5-6yr clinics. Payment is required 7 days before the clinic date in order to guarantee your spot.
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    Netball4Life Contact Information

    Phone: (02) 4975 1276 Fax: (02) 4365 5833 Email: info@netball4life.com Mail: 10 Ruislip Parkway, Buttaba NSW 2283 Web: http://www.netball4life.com