Netball Player Registration

Player Name

Gender

Male

Female

Other...

Date of Birth

Nationality

Player Address

Address Line 1

Address Line 2

Town/City

County

Post Code

Country

Player Contact Email

Player Contact Number

Health Details: Please use the space below to inform us of known medical conditions, Including current medication & any specific medical attention managers will need to help the player. Also to inform us if the player requires any access needs and what we would need to do to help. Please also confirm if the player has any communication needs:

Name of Emergency Contact

Emergency Contact Phone Number

Emergency Contact Address (If different to players)

Address Line 1

Address Line 2

City

State

Postcode

Country

Image Consent: At times the club may wish to take photos or videos of the team or individuals. We adhere to the England Netball Guidelines to ensure these are safe/respectful and solely for the purpose of promotion & celebration of activities of the club & for training purposes. Please indicate if this is acceptable to you:

Consent of Player: I consent to become a member of ABGFC and I will abide by the clubs constitution, club rules, code of conduct, disciplinary policy, equity policy, social networking and child welfare policy. I understand that if the above named member does not abide by these policies and rules that the club may take disciplinary action. I also understand that if the above named member receives any fines during games I will be expected to pay these costs:

Select Payment Method

Pay with Card (Stripe)

Pay with Paypal

Prior Agreement with Treasurer