Player Registration & Parent/Guardian Agreement Form

Player Registration & Parent/Guardian Agreement Form

Please fill out all sections carefully. Your information helps us ensure a safe and enjoyable experience for everyone.
Player's Full Name

First NameLast Name
Player's Date of Birth

MonthDayYear
2 digit month, 2 digit day, 4 digit yearDate
Player's Contact Email
example@example.com
Player's Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Medical Information (allergies, medications, health conditions)
Parent/Guardian Full Name

First NameLast Name
Parent/Guardian Contact Number
Please enter a valid phone number.Format: (000) 000-0000.
Parent/Guardian Email Address
example@example.com
Participation Terms, Injury Acknowledgement, Refund and Payment Policy. Please tick all four boxes to confirm your agreement
MEDIA CONSENT - Do you consent to Rising Diamonds Netball Academy taking photos and videos of the participant during academy activities and using them on its social media, website and advertising materials?
Your choice about photographs and videos being used on social media, our website or in advertising will not affect access to coaching. We will also respect the participant’s wishes. You may withdraw consent for future use by emailing info@risingdiamondsnetball.com
Digital Signature (Parent/Guardian Agreement)

By signing electronically above field, I confirm that this is my signature, that I am the participant’s parent or legal guardian, and that I agree to the terms above and confirm my media consent selection
Should be Empty: