GPCC Netball Club 2017 LATE Registration Please complete this form if you would like to play with GPCC Netball Club AFTER the season grading ie after 10/2/17. The information you provide on this form will allow the GPCCNC Grading Committee to place you in the appropriate team based on your ability/experience and team availability. Please refer to the GPCCNC Grading Policy. Questions and completed forms should be directed to our Registrar Jane Leivesley at
[email protected]
PARTICIPANT DETAILS: MyNetball Login ID (if known):
Category:
First name
Last name
Address:
Address2:
Suburb:
State:
Mobile:
Email Address:
Date of birth
Gender:
Postcode:
Female Male
Year at school this year: School attending: Relationship:
EMEMRGENCY CONTACT: Name: Mobile:
Email:
THIS INFORMATION KEEPS NETBALL INCLUSIVE FOR ALL: Do you identify as Aboriginal and/or Torres Strait Islander?:
In which country were you born?
Are there any languages other than English spoken at home?: If Yes, then what other languages are spoken?: 2017 Late e-Rego
MEDICAL INFORMATION: Parent/Carer Full Name:
Parent/Carer Contact number:
Parent/Carer Email Address:
Do you have a disability:
Ambulance Member:
Yes
Medicare Number:
No Private Health Insurance Member Number:
Private Health Insurance Company:
Existing Medical Conditions / Injures / Allergies:
Regular Medication:
GPCCNC PROMOTION/PUBLISHING: I permit use of my photograph by GPCC Netball Club:
Yes No
CLUB COMMITMENT: Please select how you will be involved in GPCCNC:
Player Coach
Player Umpire
Parent Coach
Parent Umpire
We are a volunteer community sports club which relies on the involvement of volunteers to function and survive.
Trainee Coach
Trainee Umpire
Team Manager
Team Photos
Admin/Support Team (Pres)
Fundraising**
**Fundraising: please note involves participating in fundraising meetings & events that will assist in raising funds for the Club to purchase necessary equipment for the teams & keep fees to a minimum (by ticking this box you are committing time & effort to fundraising activities) Fundraising Opportunities
GNA BBQ/Cake Stall Social Movie Night Bunnings BBQ
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FOR NET-SET-GO + NETTAS (5-10 YEAR OLD) PLAYERS ONLY: T-Shirt Size: Have you participated in NSG this year?
FOR JUNIOR AND SENIOR (10-99 YEAR OLD) PLAYERS ONLY: Friends/Team mates: While we try to accommodate friends playing together in teams there are NO GUARANTEES :) Updated player photo provided:
Yes (emailed to
[email protected]) No
All players are required to submit a new photo (passport style) for GPCCNC and GNA records when they register in age groups 10 years, 13 years and 16 years of age and/or if they have changes dramatically in appearance. I am a Rep Player/Challenge Team/Development Squad Member:
Yes
Please indicate your two preferred playing positions:
GK
GD
WD
WA
GS
GA
C
Never Played
No
PLAYER HISTORY AND ADDITIONAL NOTES: Please provide information on where and when you have played netball including association/ school, teams played in, grade/level, year/s played and/or representative selection:
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REGISTRATION PRICES: NET-SET-GO: $90 This is a 9 week skills based program (no training or games) suited to new players in Kindy and Year 1, aged 5-6yo but can involved players up to 10 years of age. NETTAS: $160 Non-competitive netball for players aged 6-7s, 8s and 9s (generally Years 1-3). The girls are placed in teams and will have a coach, attend training and play games in a non-competitive enviroment (no scoring or finals) over the course of the netball season. JUNIORS: $180 For players aged 10 years to 17 years. This category is competition netball where girls will be placed in teams (and graded if there is more than one team), attend training and play competitively for a spot in the finals. SENIORS: $190 For players aged 18 years and over. This category is competition netball where players will be placed in teams, train (if appropriate) and play competitively for a spot in the finals. NON-PLAYER: FREE This is for all coaches and umpires to ensure they are covered for insurance purposes.
PAYMENT OPTIONS: Please pay your registration fee to Green Point Christian College Netball Club via direct transfer to the following account: Name: GPCC Netball Club | BSB: 082-574 | Acc: 562028814 Please add the players name and age group in the description section of the transfer eg SMorrisU15s or SMorrisNSG Please send a screen shot or PDF copy of the bank confirmation to Michelle Cremer (GPCCNC Treasurer) at
[email protected] If you can email Michelle with the details this will make the process much quicker.
Thank you for registering with GPCC Netball Club - looking forward to a great season together!
2017 Late e-Rego
