WANGARATTA NETBALL ASSOCIATION
NIGHT COMPETITION COMMENCING 29th FEBRUARY 2012
INFORMATION 2012
REGISTRATION NIGHT. Wednesday 15th February 2012 between 5.30 –8.00 pm.
ALL PLAYERS ARE REQUIRED TO PAY FULL FEES ON REGISTRATION NIGHT.
Please note: It is requirement of the Association that ALL players be listed on registration sheet at the time the team registration sheet is lodged. The registration sheet is to be completed with all details of each player and team previously played with (if applicable). Also the name and phone number (preferably a mobile) of at least two team contact persons (this is required in case of forfeits for notification).
Any registration form that is incomplete may not be accepted.
PLEASE NOTEPLAYERS ATTENDING SECONDARY SCHOOL FROM YEAR 7 ARE ELIGIBLE TO PLAY IN THIS COMPETITION.
Receipt of Netball Victoria registration 2012 or proof of payment must be produced when registering, or FULL PAYMENT IS REQUIRED.
COMPETITION DATES Commences 29th February 2012
Finals: semi finals 13th June, preliminary finals 20th June and Grand Final 27th June 2012.
TO QUALIFY FOR FINALS PLAYERS MUST OF PLAYED 5 GAMES WITH THE ONE TEAM.
DURATION OFThere will be 15 weeks of play, 12 rounds to be played, followed by
COMPETITION3 weeks of finals.
There will be noplay during the school holidays, 4th April and 11th April 2012 orAnzac Day.
FULL FEESSenior’s ( $58.00 NV, $52.00 WNA) $110.00
Junior’s (17&U $40.00 NV, $52.00 WNA) $ 92.00
PLAYER VOUCHERSNot registered with NV (maximum of 4) $ 14.00
PLAYER VOUCHERS NV registered (maximum of 4) $ 5.00
Please see a Committee Member in relation to voucher purchase PRIOR to start of game.
ALL PLAYERS MUST WEAR A SKIRT.ALL TEAMS MUST PROVIDE THEIR OWN BIBS AND BALLS.
SHIRT & SKIRT COLOURS MUST BE THE SAME FOR ALL PLAYERS IN THE TEAM.
UMPIRES Umpires will be provided for each game.
Ph: 5721 8161 or 0428 218 161.
UMPIRE& FORFEITS CONTACT
Please notify.Sue Anderson ph: 5721 8161 or 0428 218 161.
Or Cheryl Peters 0417 736 941.
AMBULANCE FORMS All playersmust fill out an Ambulance Form
WANGARATTA NETBALL ASSOCIATION
MEDICAL/AMBULANCE INDEMNITY FORM 2012
SENIOR PLAYERS – OVER 17
FULL NAME:……………………………………………………………………………………..……..
ADDRESS:……………………………………………………………………………………………..…
……………………………………………………………………………………………………………….…
DATE OF BIRTH:……………………………………………………………….
HOME PHONE:…………………………… MOBILE:………………………………………..
MEDICARE NUMBER:…………………………………………………………………………..
AMBULANCE SUBSCRIPTION: YES/ NO. If, yes, number:………………………..
NAME AND ADDRESS OF FAMILY DOCTOR:………………………………………………..
……………………………………………………………………………………………………………………...
EMERGENCY CONTACT PERSON:……………………………………………………………….
………………………………………………………………………………………………………………………
DISABILITY: YES / NO: please state:………………………………………………………...
…………………………………………………………………………………………......
SIGNED:…………………………………………………………………………………………………….…..
This form is for emergency use only and will only be utilised in the case of an emergency.
All information will be held in the utmost confidence and will not be available to the general public.
WANGARATTA NETBALL ASSOCIATION
MEDICAL / AMBULANCE IDEMNITY FORM 2012
JUNIOR PLAYERS – U17 AS OF 31 DEC OF CURRENT YEAR
NAME :-…………………………………………………………TEAM……………………
ADDRESS :- …………………………………………………………………………………
………………………………………………………………………………………………..
DATE OF BIRTH :- ………………………………………………………………………….
PHONE HOME……………………WORK…………………MOBILE…………………...
PARENTS / GUARDIAN FULL NAME : - …………………………………………………
MEDICARE NUMBER :- ……………………………………………………………………
AMBULANCE SUBSCRIBER : - YES / NO, subscription number : …………………….
NAME & ADDRESS OF FAMILY DOCTOR : - …………………………………………….
EMERGENCY CONTACT : - ………………………………………PH : -………………………
Relationship to child…………………………………………………………………………..
DISABILITY : - YES / NO: Please State......
......
SIGNED : - ……………………………………………DATE : - ………………………………
Please circle : - Mother Father Guardian
This form is for emergency use only and will only be utilised in the case of an emergency.
All information will be held in the utmost confidence and will not be available to the general public.
*** I give / do not give permission for my child to be photographed and I understand that these images might be used in print media publications, advertisements, online and in any other format that Wangaratta Netball Association chooses
Signed______
Dated______