Workshop & Course Request Form

Workshop & Course Request Form
Name*

First NameLast Name
Organisation/Club*
Email*
example@example.com
Phone Number*
Please enter a valid phone number.
Postal Address (For any required paperwork)*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Please select from the list below which workshop and courses that your club/assocaition wishes to host.

Ensure that you familirise yourself with the hosting requirements for any workshops/courses that you request.
NETBALL SA - WORKSHOPS
Beginner Umpire Workshop
Beginner Umpire Workshop*

YesNo
What is your first preferred date for the workshop?

DayMonthYear
Date
What is your second preferred date for the workshop?

DayMonthYear
Date
Where would you like the workshop to be held?

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
What is your preferred start time for the workshop?

Hour Minutes

AM/PM Option
Note: Netball SA appoints all Presenters to conduct the course.

Enrolment Pre-requisites:
- Minimum age of entry (12 years)
- Must be a member of Netball SA
Workshop Hosting Requirements:
- Minimum of 16 participants
- Maximum of 20 participants
- Netballs x6
- Cones x10
- Bib Sets x2
When course numbers are confirmed and approved by Netball SA any non-attendance by participants will be charged to the host Netball Association/Club if invoice terms have been arranged.

All participants must enrol online via Netball Learning.
Course Cost: $20.00 per person (inc. GST)
Badged Umpire Workshop
Badged Umpire Workshop*

YesNo
What is your first preferred date for the workshop?

DayMonthYear
Date
What is your second preferred date for the workshop?

DayMonthYear
Date
Where would you like the workshop to be held?

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
What is your preferred start time for the workshop?

Hour Minutes

AM/PM Option
Note: Netball SA appoints all Presenters to conduct the course

Enrolment Pre-requisites:
- Minimum age of entry (12 years)
- Must be a member of Netball SA
- Must hold a current National Umpiring Badge
Workshop Hosting Requirements:
- Minimum of 16 participants
- Maximum of 20 participants
- Netballs x6
- Cones x10
- Bib Sets x2
When course numbers are confirmed and approved by Netball SA any non-attendance by participants will be charged to the host Netball Association/Club if invoice terms have been arranged.

All participants must enrol online via Netball Learning.
Course Cost: $25.00 per person (inc. GST)
Mentoring Beginner Umpires Workshop
Mentoring Beginner Umpires Workshop*

YesNo
What is your first preferred date for the workshop?

DayMonthYear
Date
What is your second preferred date for the workshop?

DayMonthYear
Date
Where would you like the workshop to be held?

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
What is your preferred start time for the workshop?

Hour Minutes

AM/PM Option
Note: Netball SA appoints all Presenters to conduct the course

Enrolment Pre-requisites:
- Minimum age of entry (12 years)
- Must be a member of Netball SA
Workshop Hosting Requirements:
- Minimum of 8 participants
- Maximum of 12 participants
When course numbers are confirmed and approved by Netball SA any non-attendance by participants will be charged to the host Netball Association/Club if invoice terms have been arranged.

All participants must enrol online via Netball Learning.
Course Cost: $25.00 per person (inc. GST)
Rules Discussion
Rules Discussion*

YesNo
What is your first preferred date for the workshop?

DayMonthYear
Date
What is your second preferred date for the workshop?

DayMonthYear
Date
Where would you like the workshop to be held?

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
What is your preferred start time for the workshop?

Hour Minutes

AM/PM Option
Note: Netball SA appoints all Presenters to conduct the course.

Enrolment Pre-requisites:
- Must be a member of Netball SA
Workshop Hosting Requirements:
- Minimum of 12 participants
- Maximum of 20 participants
When course numbers are confirmed and approved by Netball SA any non-attendance by participants will be charged to the host Netball Association/Club if invoice terms have been arranged.

All participants must enrol online via Netball Learning.
Course Cost: $20.00 per person (inc. GST)
Coach Education Workshop
Coach Education Workshop*

YesNo
What is your first preferred date for the workshop?

DayMonthYear
Date
What is your second preferred date for the workshop?

DayMonthYear
Date
Where would you like the workshop to be held?

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
What is your preferred start time for the workshop? This course is 4.5 hours in length.

Hour Minutes

AM/PM Option
Note: Netball SA appoints all Presenters to conduct the course

Enrolment Pre-requisites:
- Minimum age of entry (14 years)
- Must be a member of Netball SA
Workshop Hosting Requirements:
- Minimum of 12 participants
- Maximum of 20 participants.
When course numbers are confirmed and approved by Netball SA any non-attendance by participants will be charged to the host Netball Association/Club if invoice terms have been arranged.

All participants must enrol online via Netball Learning.
Course Cost: $25.00 per person (inc. GST)
Coach & Player Skills Workshop
Coach & Player Skills Workshop*

YesNo
What is your first preferred date for the workshop?

DayMonthYear
Date
What is your second preferred date for the workshop?

DayMonthYear
Date
Where would you like the workshop to be held?

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
What is your preferred start time for the workshop?

Hour Minutes

AM/PM Option
Note: Netball SA appoints all Presenters to conduct the course

Enrolment Pre-requisites:
- Minimum age of entry (14 years)
- Must be a member of Netball SA
Workshop Hosting Requirements:
- Minimum of 15 participants
- Maximum of 20 participants
- Minimum of 14 players
- Netballs x6
- Cones x10
- Bib Sets x2
When course numbers are confirmed and approved by Netball SA any non-attendance by participants will be charged to the host Netball Association/Club if invoice terms have been arranged.

All participants must enrol online via Netball Learning.
Course Cost: $25.00 per person (inc. GST)
Selectors Workshop
Selectors Workshop*

YesNo
What is your first preferred date for the workshop?

DayMonthYear
Date
What is your second preferred date for the workshop?

DayMonthYear
Date
Where would you like the workshop to be held?

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
What is your preferred start time for the workshop?

Hour Minutes

AM/PM Option
Note: Netball SA appoints all Presenters to conduct the course

Enrolment Pre-requisites:
- Minimum age of entry (18 years)
- Must be a member of Netball SA
Workshop Hosting Requirements:
- Minimum of 10 participants
- Maximum of 20 participants
When course numbers are confirmed and approved by Netball SA any non-attendance by participants will be charged to the host Netball Association/Club if invoice terms have been arranged.

All participants must enrol online via Netball Learning.
Course Cost: $25.00 per person (inc. GST)
NETBALL AUSTRALIA - ACCREDITATION COURSES
Development Coaching Course - Face to Face Component
Development Coaching Course - Face to Face Component*

YesNo
What is your first preferred date for the workshop?

DayMonthYear
Date
What is your second preferred date for the workshop?

DayMonthYear
Date
Where would you like the workshop to be held?

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
What is your preferred start time for the workshop?

Hour Minutes

AM/PM Option
Note: Netball SA appoints all Presenters to conduct the course

Enrolment Pre-requisites:
- Minimum age of entry (14 years)
- Must be a member of Netball SA
- Rules of Netball Theory Exam
- Foundation Coach Accreditation
- Development Coach Course - Online Component
Course Hosting Requirements:
- Minimum of 8 participants
- Maximum of 12 participants
- Minimum of 16 players
- Netballs x10
- Cones x16
- Bib Sets x4
- TV/Projector suitable for connecting laptop
When course numbers are confirmed and approved by Netball SA any non-attendance by participants will be charged to the host Netball Association/Club if invoice terms have been arranged.

All participants must enrol online via Netball Learning.
Course Cost: $68.00 per person (inc. GST)
Intermediate Coaching Course - Face to Face
Intermediate Coaching Course - Face to Face*

YesNo
What is your first preferred date for the workshop?

DayMonthYear
Date
What is your second preferred date for the workshop?

DayMonthYear
Date
Where would you like the workshop to be held?

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
What is your preferred start time for the workshop?

Hour Minutes

AM/PM Option
Note: Netball SA appoints all Presenters to conduct the course

Enrolment Pre-requisites:
- Minimum age of entry (12 years)
- Must be a member of Netball SA
- Rules of Netball Theory Exam
- Development Coach Accredtiation
Course Hosting Requirements:
- Minimum of 8 participants
- Maximum of 10 participants
- Each participant is expected to bring 3 players for the practical component
- Netballs x10
- Cones x16
- Bib Sets x4
When course numbers are confirmed and approved by Netball SA any non-attendance by participants will be charged to the host Netball Association/Club if invoice terms have been arranged.

All participants must enrol online via Netball Learning.
Course Cost: $135.00 per person (inc. GST)
Should be Empty:

Workshop & Course Request Form

NETBALL SA - WORKSHOPS

Beginner Umpire Workshop

Badged Umpire Workshop

Mentoring Beginner Umpires Workshop

Rules Discussion

Coach Education Workshop

Coach & Player Skills Workshop

Selectors Workshop

NETBALL AUSTRALIA - ACCREDITATION COURSES

Development Coaching Course - Face to Face Component

Intermediate Coaching Course - Face to Face