CRONULLA SHARKS NETBALL CLUB – REGISTRATION FORM

KINDY NETBALL REGISTRATION
www.cronullasharksnetball.com.au
CRONULLA SHARKS NETBALL CLUB – REGISTRATION FORM
SURNAME:
FIRST NAME:
D.O.B:
PHONE: (H)
(M)
ADDRESS:
POSTCODE:
EMAIL:
PARENT/GUARDIAN FOR PLAYERS UNDER 18
FATHER:
MOTHER:
GUARDIAN:
PHOTOGRAPHY CONSENT
I give permission for Cronulla Sharks Netball Club to use images of myself/my child on our club website and/or Facebook, in print
for illustration and/or marketing purposes. I understand that names will not be used unless specific permission is sought.
PLAYERS NAME:
PARENT/GUARDIAN NAME (under 18):
PARENT/GUARDIAN/PLAYERS SIGNATURE:
DATE (DD/MM/YY):
MEDICAL HISTORY
CONDITIONS REQUIRING MEDICATION OR MEDICAL ATTENTION THAT SHARKS OFFICIALS SHOULD BE AWARE OF:
OTHER MEDICAL CONDITIONS THAT SHARKS OFFICIALS SHOULD BE AWARE OF WHEN PLAYING NETBALL (DUTY OF CARE):
ANY CHILD PROTECTION OR CUSTODY ISSUES THAT SHARKS OFFICIALS SHOULD BE AWARE OF: