NORTHERN SUBURBS NETBALL ASSOCIATION INC. REPRESENTATIVE PLAYER AGREEMENT FORM 2011 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 collected 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 _________________________ NORTHERN SUBURBS NETBALL ASSOCIATION INC. 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:- CODE OF CONDUCT – PLAYERS 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 sport. 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 opposition. 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. CODE OF CONDUCT – PARENTS 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 NORTHERN SUBURBS NETBALL ASSOCIATION LEAVE FORM SEND TO SAMANTHA ROBINSON AFTER APPROVAL BY COACH ON Email : firstname.lastname@example.org OR MAIL: P.O. Box 31 Willoughby, NSW 2068 Reason For Leave: FIRST DAY OF ABSENCE ................. LAST DAY OF ABSENCE ......................... TOTAL GAMES ...................................... SIGNATURES Signature of Player...........……............... Name........…….............………… Date ....................................... Signature of Coach..........................……. Name.....…............................... Date …............................………..
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