Transcript

HAWARDEN NETBALL CLUB Future Ferns/PrimaryNAME: _____________________________________________________________DATE OF BIRTH: _____________________________________________________CONTACT PHONE NUMBER: _____________________________________________EMERGENCY CONTACT: ________________________________________________ ___________________________________________________________________I give ______________________________permission to play netball for the 2015 season.

We wish to register for one of the following teams. (Please circle one.)

Future Ferns

Primary

(7-9 yrs)

(10-12 yrs)

My daughter/son has the following medical requirements:

______________________________________________________________________________________________________________________________________If my daughter/son should sustain an injury, I give permission for medical assistance as deemed appropriate to be administered.My daughter/son is allergic to:____________________________________________I understand that ______________________________ will be at all practices unless the coach has been informed, also that she/he will arrive in good time to warm up before games wearing correct uniform.I do/don't give permission for photos taken at netball with my son/daughter in them to be used on the Hawarden or Hurunui Netball Web site which is located at www.sportsground.co.nz/hurunuincLike our facebook page to keep up to date with news and club events. Signed __________________________________________ (parent or caregiver)


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