COCKFIELD NETBALL CLUB
Player Registration Form
Players Name
*
First Name
Middle Name
Last Name
Date of Birth
*
Please select a day
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Day
Please select a month
January
February
March
April
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July
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September
October
November
December
Month
Please select a year
2025
2024
2023
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Year
Address
*
Line 1
Line 2
Line 3
County
Post Code
Under 18's Only
Parent/guardian Name
Under 18's Only
Parent/guardian contact number
Under 18's Only
Parent/guardian email
Over 18's Only
Player contact number
Over 18's Only
Player contact email
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Emergency Contact
Emergency Contact
*
Full Name
Relationship to you
Emergency Phone Number
*
Please enter a valid phone number.
Consent for emergency First Aid Treatment
*
Yes
No
Membership
Are you a new member
Yes
No
Playing Positions
Attack
Centre Court
Defence
Anywhere
Other
Health
Do you / your child suffer from any medical conditions or allergies?
*
Yes
No
If Yes please state the condition or allergies
Do you / your child have a disability?
*
Yes
No
Prefer not to say
If yes, please specify
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Data Protection
We will use your personal data to contact you with updates about the club, your membership and in the event of an emergency. Your data may be shared with England Netball, Suffolk Netball and the West Suffolk Netball League. It will not be passed to any other third party.
Consent for use of your /your childs name,photo & video on our website & social media platforms
Yes
No
Covid- 19 Information
Opt in Process and confirmations - we will be adopting the England Netball process
Please tick and agree to the following Statements
Members should be made aware of the risk associated with Netball activity and Covid-19 transmission. We will make available information that outlines the risk associated with netball activity and Covid-19
If you are a high risk member we ask that you consult your GP to seek advice on returning to Netball activity
You will agree to do a self-health check before any netball activity
Share your details with the Covid-19 and Safeguarding Officers who concerns can be discussed with you and the club should they arise
Be aware and abide by the Game modifications as per the modified rules set out by England Netball
Covid- 19 Information for Track and Trace
For the purpose of the Track and Trace system with EN the contact details supplied will be used at each session and held for 21 days as per the legal requirement of the regulations and will be destroyed after the 21 days.
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