Registrations for 2021 Winter Season open 1st-31st of January

    This form is to register for the 2021 Winter Season. Forms and full payment must be received by 31st January 2021 to secure a place in a team. Fees are $170 for junior and senior players.
    If you are registering two or more players, fill in the form for the first player, click the submit button and then repeat the process for the 2nd and subsequent player(s).
    Please note late registrations will only be accepted if a position in a team is available.

    Information marked with an asterisk * is required

    PLAYER INFORMATION

    Full Name *
    Date of Birth *(DD/MM/YYYY)
    Street Address *
    Suburb *
    Post Code *
    Preferred Phone Contact Number *
    Phone Contact 2 (optional)
    Email 1 *
    Email 2 (optional)

    PARENT INFORMATION

    (Required if player under 18 years)

    Parent/Guardian 1 Full Name
    Parent/Guardian 1 Phone Number
    Parent/Guardian 2 Full Name
    Parent/Guardian 2 Phone Number

    PREVIOUS PLAYING EXPERIENCE

    Club Last Year * (N/A if didn't play)
    Grade Last Year * (N/A if didn't play)
    Preferred Positions *
    Please select three
    GSGAWACWDGDGKBeginner
    Friendship Requests

    MEDICAL AND EMERGENCY CONTACT INFORMATION

    This medical information is necessary to protect your child/yourself. Wesley Netball Club views your child’s/your privacy as a top priority and abides by the principles of the Australian Privacy Act 1988.

    Medical Conditions
    Emergency Contact *
    Family Doctor *

    Medicare Number (11 digits-include ref.no next to name) *
    Do you have ambulance cover/insurance?

    VOLUNTEERING

    We greatly appreciated the help of volunteers in many areas of our club's operation. If you would like to find out more about how to help, please indicate your interests below and provide other details as necessary.

    Coaching a teamUmpiring on SaturdaysTeam managerCoaching/Umpiring clinicsProviding sponsorship
    Please indicate if you have the following... Current Police CheckCurrent First Aid Certificate

    MEDIA *

    I give permission for photos of myself/my child to be included in club promotions and publications.

    YesNo

    I will be claiming a Sports Voucher (Primary school age only - see FAQ).

    YesNo

    TERMS AND CONDITIONS *

    In the event of an emergency, when above emergency contacts are unavailable, I consent to my child/myself being taken to hospital by a Club Representative or Ambulance at my cost. I acknowledge that netball is a vigorous physical sport and that injuries can be sustained as a result of participation. I agree to play for the Club entirely at my own risk. I also agree to fully indemnify the Club against all costs, claims or demands incurred or brought against the Club arising in any way, whether through injury or otherwise, as a result of my playing for Wesley Netball Club. Please read the full Terms and Conditions here.

    I understand and agree to the Terms and Conditions

    You can pay by Electronic Funds Transfer or at a Beyond Bank branch. Once you have clicked the REGISTER button above you will be directed to a page where you will be able to download a pdf document with the payment details. Fees are $170 per player (all age groups). If you are eligible and are claiming a Sports Voucher, fees are $70. No payment = no placement in a team.