South Upwey Netball Club Registration Form WINTER 2019
Teams are now being finalised. Late registrations will be accepted where possible.
Please fill this form in to register as a player with South Upwey Netball Club.
Email address *
PLAYER CONTACT DETAILS
First Name *
Your answer
Last Name *
Your answer
Date of Birth *
MM
/
DD
/
YYYY
Contact Phone Number *
Please include home and mobile if you have both.
Your answer
Address *
Your answer
IF YOU ARE UNDER 18- ADD PARENT OR GUARDIAN DETAILS BELOW
Name
Your answer
Relationship to Player
Your answer
Contact Number
Your answer
OVER 18 EMERGENCY CONTACT DETAILS
Name
Your answer
Relationship to Player
Your answer
Contact Number
Your answer
ADDITIONAL INFORMATION
Have you ever played for South Upwey Netball Club before? *
Have you played for another MDNA Club in the last 12 months? *
If Yes, what is your VNA Number?
Your answer
If No, what was your last playing level?
Your answer
Which age group/s would you like to nominate to play in? *
Player's ages are calculated as at 31st December, eg a player can play under 11 if they turn 11 in 2019.
Required
Preferred Playing Positions
1st being your favoured playing position.
1st *
2nd *
3rd *
Do you have any allergies or medical conditions? *
Your answer
Are you willing to provide assistance to South Upwey Netball Club? *
Eg, coaching, committee member, umpiring, fundraising, etc
If yes, please specify:
Your answer
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