Rep. Player Agreement Form - Northern Suburbs Netball Association by zhouwenjuan


Team: _____________Year: _____ Player’s name:
Address: _________________________________________________________________
Contact Phone Numbers: Home: ____________ Personal Mobile: __________________
Names and Contact Details of Parent/Guardian (if player under 18)
Mother: __________________ Home: _________________ Mobile: __________________
Father: __________________ Home: _________________ Mobile: __________________
I ____________________________________________- agree to observe the following
rules set down by Northern Suburbs Netball Association Inc
1.  To sit for the Umpires’ Theoretical Exam as soon as possible after selection unless the
    player holds a current pass (6years validity)
2. To promptly report any injuries or illness that causes a player to miss more than
    one consecutive training or competition game to the NSNA Inc Secretary. NB If both
    a training and a competition game are missed notification is required i.e. more than one
    team event has been missed.
3. After suffering an injury a player must get a clearance from the Doctor and send it to the
    NSNA Inc Secretary BEFORE resuming training or playing.
4. To carry out all training set by the Coach and attend all coaching sessions arranged by
    the Coach.
5. To pay by the set date any Expenses or portion of expenses as may be decided by NSNA
    Inc from year to year.
6. To purchase any item of apparel as decided by NSNA Inc and pay for same on the day
7. To request any necessary leave of absence in writing to NSNA Inc Secretary well in
    advance of such leave commencing.
8. To participate in fund-raising activities to help defray the Association expenses.
9. To do my best to uphold the dignity and good name of NSNA Inc and to advance the
    game of netball at Northern Suburbs.
10. Selected players shall be subject to replacement for:
      a) Failure to follow instructions of the Coach in respect to training and fitness.
      b) Any reason, which the Executive Committee may decide is in the best interests of
          the player or the team.
      c) Any breach of the Agreement Form

Players Signature ___________________________________________________________

Parent’s Name (if player is under 18 ears)____________________________________________________________

Parent’s signature ____________________________________________ Date _________________________
MEDIA PERMISSION: I hereby give permission for ______________________________
to be photographed and/or full name appear on television, in local newspapers or on the
Internet for the purposes of promoting Northern Suburbs Netball Association’s activities

Players Signature ___________________________________________________________

Parent’s Name (if player is under 18 years)_________________________________________________________

Parent’s signature ___________________________________________ Date _________________________

                                       MEDICAL INFORMATION FORM

Please complete the form and return it to your Coach
Player’s name ______________________________________ Team ___________________                    Year __________
Address ________________________________________________________________________________________
Contact Phone Numbers : Home ________________________ Personal Mobile _________________________
Mother __________________ Mobile _________________Father ________________ Mobile __________________
Doctor’s name _______________________________________ Phone ____________________________________
Medicare Number ___________________________________________
Private Health Fund       Yes/No
Fund __________________________________________________________________________________________
Membership Number ____________________________________________________________________________

              Medical Condition                        Further Information, special instructions, medication
                                                                      for emergency actions
  Epilepsy                         Yes/No

  Fainting/dizzy spells            Yes/No
  (or sudden loss of
  consciousness )
  Heart Condition                  Yes/No

  Ear Disorder                     Yes/No
  (drainage tubes or deafness )

  Respiratory disorder
  (particularly Asthma)

  Allergies                          Yes/No
  (particularly insect bites, stings
  mediation )
  Other relevant medical information

I authorise the Coach to obtain medical assistance which is deemed necessary and agree to pay all medical
expenses incurred.

Players Signature (if 18 year and over) ____________________________________________________________

Parent’s Name (if player is under 18 years)____________________________________________________________

Parent’s signature ____________________________________________________________________________

Date ___________________________
      Netball NSW and Districts are responsible for the control and conduct of their members who
      include Players, Coaches, Managers, Umpires, Administrators and Spectators.

      All members of Netball NSW and spectators attending game and / or events controlled by
      Netball NSW are required to adhere to the appropriate Codes of Conduct relative to their
      particular circumstance as follows:-

         Play by the rules
         Never argue with an official. If you disagree, have your captain, coach or manager
          approach the official during a break or after the competition. Technically they can’t do
          this if it’s an umpire as only the captain can approach umpires however this may be
          appropriate for the little ones at State Age.
         Control your temper. Verbal abuse of officials and sledging other players, deliberately
          distracting or provoking an opponent are not acceptable or permitted behaviours in any
         Work equally hard for yourself and/or your team. Your team’s performance will benefit,
          so will you.
         Be a good sport. Applaud all good plays whether they are made by your team or the
         Treat all participants in your sport as you like to be treated. Do not bully or take unfair
          advantage of another competitor.
         Cooperate with your coach, team-mates and opponents. Without them there would be
          no competition.
         Participate for your own enjoyment and benefit, not just to please parents and coaches.
         Respect the rights, dignity and worth of all participants regardless of their gender,
          ability, cultural background or religion.
         Do not interfere with the progress and/or conduct of the game.

          Support all efforts to remove verbal and physical abuse from sporting activities.
          Respect officials’ decisions
          Show appreciation for volunteer coaches, officials and administrators. Without them,
           there would not be a competition
          Respect the rights, dignity and worth of every young person regardless of their gender,
           ability, cultural background or religion.
          Do not interfere with the progress and/or conduct of a game.

      Codes of Behaviour – Adopted by NSW Netball Assn Ltd Council Meeting 8 November 2003

                                LEAVE                  FORM

                     Email : OR
                 MAIL: P.O. Box 31 Willoughby, NSW 2068

Reason For Leave:

FIRST DAY OF ABSENCE ................. LAST DAY OF ABSENCE .........................

TOTAL GAMES ......................................


Signature of Player...........……...............              Name........…….............…………

Date               .......................................

Signature of Coach..........................…….              Name.....…...............................

Date               …............................………..

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