2024 Affiliation and Membership Agreement

2024 Affiliation and Membership Agreement
Netball SA requires Associations to complete the form below, agreeing to the terms of the Netball SA Affiliation and Membership Agreement to complete your affiliation.
Association Name*
Primary Email*
example@example.com
Name

First NameLast Name
When will your next AGM be held?

DayMonthYear
Date
Council Zone/s
Do you have a paid administrator?

Yes - Full TimeYes - Part TimeNo
Which LGA/s is your association/clubs located in?

Committee Details
Presidents Name

First NameLast Name
Presidents Contact Email
example@example.com
Presidents Contact Number
Please enter a valid phone number.
Presidents Working with Children Check Number
Presidents Date of Birth

DayMonthYear
This is for any checks needed for WWCC
Vice Presidents Name

First NameLast Name
Vice Presidents Contact Email
example@example.com
Vice Presidents Contact Number
Please enter a valid phone number.
Vice Presidents Working with Children Check Number
Vice Presidents Date of Birth

DayMonthYear
This is for any checks needed for WWCC
Secretary Name

First NameLast Name
Secretary Contact Email
example@example.com
Secretary Contact Number
Please enter a valid phone number.
Secretary Working with Children Check Number
Secretary Date of Birth

DayMonthYear
This is for any checks needed for WWCC
Treasurer Name

First NameLast Name
Treasurer Contact Email
example@example.com
Treasurer Contact Number
Please enter a valid phone number.
Treasurer Working with Children Check Number
Treasurer Date of Birth

DayMonthYear
This is for any checks needed for WWCC
Member Protection Information Officer

First NameLast Name
Contact Email
example@example.com
Contact Number
Please enter a valid phone number.
Working with Children Check Number
Date of Birth

DayMonthYear
This is for any checks needed for WWCC
Council Delegate

First NameLast Name
Contact Email
example@example.com
Contact Number
Please enter a valid phone number.
Working with Children Check Number
Date of Birth

DayMonthYear
This is for any checks needed for WWCC
Coach Coordinator

First NameLast Name
Contact Email
example@example.com
Contact Number
Please enter a valid phone number.
Working with Children Check Number
Date of Birth

DayMonthYear
This is for any checks needed for WWCC
Umpire Coordinator

First NameLast Name
Contact Email
example@example.com
Contact Number
Please enter a valid phone number.
Working with Children Check Number
Date of Birth

DayMonthYear
This is for any checks needed for WWCC
PlayHQ/Records Officer

First NameLast Name
Contact Email
example@example.com
Contact Number
Please enter a valid phone number.
Working with Children Check Number
Date of Birth

DayMonthYear
This is for any checks needed for WWCC
Country Championships Coordinator

First NameLast Name
Contact Email
example@example.com
Contact Number
Please enter a valid phone number.
Working with Children Check Number
Date of Birth

DayMonthYear
This is for any checks needed for WWCC
How many other committee roles does your association have?

1234
Additional Role #1
Name

First NameLast Name
Contact Email
example@example.com
Contact Number
Please enter a valid phone number.
Working with Children Check Number
Date of Birth

DayMonthYear
This is for any checks needed for WWCC
Additional Role #2
Name

First NameLast Name
Contact Email
example@example.com
Contact Number
Please enter a valid phone number.
Working with Children Check Number
Date of Birth

DayMonthYear
This is for any checks needed for WWCC
Additional Role #3
Name

First NameLast Name
Contact Email
example@example.com
Contact Number
Please enter a valid phone number.
Working with Children Check Number
Date of Birth

DayMonthYear
This is for any checks needed for WWCC
Additional Role #4
Name

First NameLast Name
Contact Email
example@example.com
Contact Number
Please enter a valid phone number.
Working with Children Check Number
Date of Birth

DayMonthYear
This is for any checks needed for WWCC
I acknowledge that all committee members, coaches, umpires and volunteers, including those of member clubs, must hold a Current not prohibited Working with Children Check.*

Yes

Policy Documents
When was your constitution last updated?
When were your Rules/Guidelines/By-Laws last updated?
Are your constitution, Rules/By-Laws and Policies available on your website?

Yes, they are all on our websiteOnly some are on our websiteThey are not on our website
Which documents are on available on your website?
Are these documents available elsewhere for your members?
Please upload a copy of your constitution*

Cancelof
Please upload a copy of your Rules/By-Laws*

Cancelof
Do you have a current Strategic Plan?

Cancelof

Association Visit
Every year, each Association is entitled to one Association Visit organised with Netball South Australia. These Association visits include mentoring for both coaches and umpires on a game day.

To best utilise the time of our presenters and resources, Associations will be able to request Netball SA Courses and Workshops to be held the day after mentoring.

Netball SA will endeavour to complete every request within the dates provided, however at times resources may be tight and Netball SA will negotiate with the Association, the best possible solution.
Association Visit Coordinator
Association Visit Coordinator Email
example@example.com
First Preference Date

DayMonthYear
Date
Second Preference Date

DayMonthYear
Date
1st Preference Venue Address (Full Address)
2nd Preference Venue Address (Full Address)
Please select which Coach Courses and Workshops you would like to host:

Development Coach Accreditation (Face to Face Component)Coach Education SessionCoach and Players Skills WorkshopSelectors Workshop
Would you like Umpire Badge Testing to take place during this visit:

YesNo
How many testing's would you like Netball SA to assist with?

123

Agreement
Name of authorised signatory submitting this agreement*

First NameLast Name
Signature

Clear
Should be Empty:

2024 Affiliation and Membership Agreement

Committee Details

Policy Documents

Competition Details

Association Visit

Agreement