Player's Name
              
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                Please insert the player's name
                
                  
                     
                    First Name 
                   
                
                
                  
                     
                    Last Name 
                   
                
               
            
            
            
            
            
            
        
          
          
            
            
            
              
            
            
            
            
            
            
            
            
            
            
            
            
            
            
            
            
            
        
          
          
            
            
            
              
            
            
            
            
            
            
            
            
            
            
            
            
            
            
            
            
            
        
          
          
            
            
            
              
            
            
            
            
            
            
            
            
            
            
            
            
            
            
            
            
            
        
          
          
            
            
            
            
            
            
            
            
            
            
            
            
            
            
            
            
            
              
                
            
              Address
              
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                    Address 1 
                   
                
                
                  
                     
                    Address 2 
                   
                
                
                  
                     
                    City 
                   
                
                
                  
                     
                    State/Province 
                   
                
                
                  
                     
                    Zip/Postal Code 
                   
                
                
                  
                     
                    Country 
                   
                
               
            
            
            
        
          
          
            
            
            
            
            
            
            
            
            
            
            
            
            
              
                
            
              Have you played netball before?
              
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                    Yes 
                  
                    No 
                  
                   
                 
              
            
            
            
            
            
            
            
        
          
          
            
            
            
              
                
            
              If yes, please name club and division last played
              
             
          
                
                 
              
            
            
            
            
            
            
            
            
            
            
            
            
            
            
            
            
            
        
          
          
            
            
            
            
            
            
            
            
            
            
            
            
            
              
            
            
            
            
            
            
            
        
          
          
            
            
            
              
            
            
            
            
            
            
            
            
            
            
            
            
            
            
            
            
            
        
          
          
            
            
            
              
            
            
            
            
            
            
            
            
            
            
            
            
            
            
            
            
            
        
          
          
            
            
            
              
            
            
            
            
            
            
            
            
            
            
            
            
            
            
            
            
            
        
          
          
            
            
            
            
            
            
            
            
            
            
            
            
            
            
              
                
            
              Parent 1 - Name 
              
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                    First Name 
                   
                
                
                  
                     
                    Last Name 
                   
                
               
            
            
            
            
            
            
        
          
          
            
            
            
            
            
            
            
              
                
            
              Phone
              
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              Email
              
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              Parent 2 - Name
              
             
          
                
                
                  
                     
                    First Name 
                   
                
                
                  
                     
                    Last Name 
                   
                
               
            
            
            
            
            
            
        
          
          
            
            
            
            
            
            
            
              
                
            
              Phone
              
             
          
                
                 
              
            
            
            
            
            
            
            
            
            
            
            
            
            
        
          
          
            
            
            
            
            
              
                
            
              Email
              
             
          
                
                 
              
            
            
            
            
            
            
            
            
            
            
            
            
            
            
            
        
          
          
            
            
            
            
            
            
            
            
            
            
            
            
              
                
            
              Grading
              
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                I agree to abide by the conditions for the Club players as set down in the Parent Handbook and by submitting this form you also agree to pay club fees when they are due. Without payment players WILL NOT be able to take the court.
Please note below fee structure for 2026:
Prep, G1 & G2 Skills & Development program: $120 for the year.
WDNA Saturday Competition: $320 for the year which includes uniform hire, they will be split into 2 seperate payments of $170 Autumn & $150 for Spring. 
Stonnington Tuesday Competition (15/u to 18/u - year 8 to year 12): $380 for the year which includes uniform hire, they will be split into 2 seperate payments of $200 Autumn & $180 for Spring. 
Victoria Netball Association (VNA) fees/player insurance is an additional fee, which is paid at the start of the year (2025) & is valid for the whole year. Charges are $73 for Junior players (ages 7-17) & $94 for Senior players (ages 18 & above) & there is also a $10 Association charge for WDNA. These are due to be paid before players take the court and registration is through the Netball Connect app. If players are playing in both WDNA and Stonnington NA competitions, VNA is only payable once. 
Fees are payable once you are confirmed in a team.
Please select the age group you are interested in playing
                
                  Prep - skills and development
                
                  Pinewood Grade One - skills and development
                
                  Pinewood Grade Two - skills and development
                
                  Juniors - Year 3 to Year 11
                
                  Open - Year 12 and over 18
                
                  Stonnington 15/u to 18/u comp - Year 8 to Year 12
                
               
            
            
            
            
            
            
            
            
        
          
          
            
            
            
              
            
            
            
            
            
            
            
            
            
            
            
            
            
            
            
            
            
        
          
          
            
            
            
            
            
            
            
            
            
            
            
            
              
                
            
              Do you have ambulance cover?
              
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                  Yes
                
                  No
                
               
            
            
            
            
            
            
            
            
        
          
          
            
            
            
            
            
            
            
            
            
            
            
            
              
                
            
              Permission for Publications of Player Photographs
              
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                The Pinewood Netball Club will, from time to time, take and use photographs of players for the club newsletter, Instagram, Facebook and other media platforms. Photographs that are used will not include identifying information such as addresses and contact phone numbers. The club will be very careful with the information that it utilises. I hereby give Pinewood Netball Club permission to use photographs of me/my child in the club publications for the promotion of the Club and netball in general.
                
                  Yes
                
                  No
                
               
            
            
            
            
            
            
            
            
        
          
          
            
            
            
              
            
            
            
            
            
            
            
            
            
            
            
            
            
            
            
            
            
        
          
          
            
            
            
              
            
            
            
            
            
            
            
            
            
            
            
            
            
            
            
            
            
        
          
          
            
            
            
            
            
            
            
            
            
            
            
            
              
                
            
              If required, would you volunteer for a club role?  (Coach, Team Manager, Committee member) 
              
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                  Yes
                
                  No
                
                  Maybe - I would like further informaition