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HAWARDEN NETBALL CLUB – Future Ferns/Primary NAME: _____________________________________________________________ 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/hurunuinc Like our facebook page to keep up to date with news and club events.

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Future Ferns and Primary Registration form

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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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