HRCC Ladies Netball Nomination Form

Team Name:*

The nominated team captain must be 18 years of age or over.

Team Captain's Name*

First NameLast Name

Team Captain's Address:*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry

Team Captain's Phone Number:*

Team Captain's Email:*

Secondary Contacts Name*

First NameLast Name

Secondary Contact's Phone Number:*

Secondary's Email:*

Sport:*

Team Shirt Colour:*

Team Bottoms Colour:*

Number of Players to be Registered:

Important

To ensure that our Senior Recreation Officer receives all the essential information required to sign your team up for our competition, please ensure all the below fields are completed.

You must submit the details of at least 5 players in order to register as a team.

PLAYER 1

Name*

First NameLast Name

DOB:*

Phone:*

Do you give consent for your photo to be taken for promotional purposes by HRCC staff?*

YesNo

PLAYER 2

Name*

First NameLast Name

DOB:*

Phone:*

Do you give consent for your photo to be taken for promotional purposes by HRCC staff?*

YesNo

PLAYER 3

Name*

First NameLast Name

DOB:*

Phone:*

Do you give consent for your photo to be taken for promotional purposes by HRCC staff?*

YesNo

PLAYER 4

Name*

First NameLast Name

DOB:*

Phone:*

Do you give consent for your photo to be taken for promotional purposes by HRCC staff?*

YesNo

PLAYER 5

Name*

First NameLast Name

DOB:*

Phone:*

Do you give consent for your photo to be taken for promotional purposes by HRCC staff?*

YesNo

PLAYER 6

Name

First NameLast Name

DOB:

Phone:

Do you give consent for your photo to be taken for promotional purposes by HRCC staff?

YesNo

PLAYER 7

Name

First NameLast Name

DOB:

Phone:

Do you give consent for your photo to be taken for promotional purposes by HRCC staff?

YesNo

PLAYER 8

Name

First NameLast Name

DOB:

Phone:

Do you give consent for your photo to be taken for promotional purposes by HRCC staff?

YesNo

PLAYER 9

Name

First NameLast Name

DOB:

Phone:

Do you give consent for your photo to be taken for promotional purposes by HRCC staff?

YesNo

PLAYER 10

Name

First NameLast Name

DOB:

Phone:

Do you give consent for your photo to be taken for promotional purposes by HRCC staff?

YesNo

How did you hear about our competition?*

General Rules

The game fee per team is $66.00 and must be paid at “The Centre” desk prior to each game. The scoresheet will be issued once both teams have paid their fees.
All teams are required to wear the same colour team uniform while on court and teams have the option to provide their own team bibs otherwise they may loan them from The Centre.
As this is an adult competition, all “juniors” play in the knowledge that they accept the risks and liability that may be involved in such a competition. Minimum age for players is 14.
Each game will consist of four x twelve minute quarters with a break of one (1) minutes at quarter time and three minutes (3) and at half time.
A player must play a minimum of four (4) games for one team to qualify to play in any “finals” game.
Any team forfeiting a match will be charged a forfeit fee of $20.00. Please give as much notice as you can.
A Premiership table, fixtures and general Netball updates will be shown each week on “The Centre” noticeboards and announced on Harvey Community Radios show Sports Talk with Cody Birch and Daniel Ebert and The Brekky Show with Duncan Booth.
There is to be no alcohol allowed in “The Centre” unless otherwise authorised by management.
RESPECT THE UMPIRES. Umpires will be supplied for all games. A no tolerance rule in regards to umpires applies to all Centre Competitions.
All Complaints must be made the Senior Recreation Officer during office hours on 97293311 and not to the court manager.

Declaration:*

I have read and agree to the rules above

Enter text:*

ADMIN USE ONLY

Received on:

Staff Name:

Nomination Fee Paid:

YesNo

Receipt Number:

Ladies Netball Team Nomination Form

General Rules