INDIVIDUAL NOMINATION FORM Term 4 2026

Players Name

First NameLast Name

Age

Parent/Guardian Name (if under 16yrs)

First NameLast Name

Contact number

Please enter a valid phone number.Format: (000) 000-0000.

Email

example@example.com

Emergency contact

First NameLast Name

Emergency contact number

Please enter a valid phone number.Format: (000) 000-0000.

Do you have any allergies?

Any current or previous injuries?

Skill level. How long have you played for?

Do you have a preference of what team you play in?

If yes to the above, please list names of players you would like to join with.
First Name   Last Name
First Name   Last Name
First Name   Last Name
First Name   Last Name

Would you be interested in managing a team

Venue:

Fernvale Sports Park – 31 Brouff Rd, Fernvale

Day:

Monday

Time:

5:00pm – 5:46pm (40 minutes game time + total of 6 minutes break)

6:15pm - 7:01pm (40 minutes game time + total of 6 minutes break)

7:15pm – 8:01pm (40 minutes game time + total of 6 minutes break)

Dates:

Round 4
5th October – 23rd November

NO GAMES WILL BE PLAYED DURING SCHOOL HOLIDAYS

Cost:

$70 payable per team per round (must be paid in full prior to game commencement by the team captain)

The captain must also ensure players sign the scoresheet prior to the game taking place. We can only accept one payment per team. Cash or EFTPOS is accepted.

Uniforms:

Matching coloured shirts and black bottoms.

All teams must submit their preferred colour of shirts to the Social Competition Co-ordinators for approval prior to purchasing and commencement of the round. No hoods are allowed due to potential injury.

Bibs:

A bib bond fee of $50.00 per team is required. (CASH ONLY)
All teams will be responsible for their own bibs.
All bibs must be returned to the office at the end of the final round. If the bibs are in good condition—no rips, stains, stretched elastic, faded colour, intact vinyl, or loose stitching—the $50 bond fee will be refunded to the individual who paid it.
The $50 refund will be issued as a total amount and will not be divided. Fair wear and tear will be considered

Age:

Junior 1 - 7-9yrs (mixed)

Junior 2 - 10-13yrs (mixed)

Seniors - 14+ (mixed)

I am a member of the Social Mixed Netball Competition - by Somerset Storm Netball Club so I can be placed into a team

The Executive Committee at Somerset Storm Netball club will endeavour to ensure the safety of all players and reserve the right to refuse service to any player/team if they feel it is in the best interest of this club. Please note that all players play at their own risk and Somerset Storm Netball Club does not assume the responsibility of any injuries occurred by players

I have read the above Social Netball Information and Rules, and will ensure I act in accordance

INDIVIDUAL NOMINATION FORM Round 4 2026 - Ages 7 +