Registration Documents 2001

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					                                              HOLSWORTHY TIGERS
                                     JUNIOR AUSTRALIAN RULES FOOTBALL CLUB
                                           REGISTRATION FORM - 2006



                                                          PLAYERS DETAILS

 PLAYERS SURNAME ………………………………………... GIVEN NAMES: ……………………………………………...

 ADDRESS ………….………...………………………………... SUBURB: …………………….....….P/CODE:……………...

 HOME TELEPHONE: ……………………….                                    SCHOOL: …………...………………………………………….

 BIRTH DATE: ……………………...                                       MEDICARE No…………………………...

                                                   PARENT / GUARDIAN DETAILS

1. SURNAME: …………………………...……………………….. GIVEN NAMES: …………………………………………………..

2. SURNAME: …………………………...……………………….. GIVEN NAMES: …………………………………………………..

MOBILE 1:……………………………………………...                              EMAIL 1……………………………………………………………………

MOBILE 2:………………………………………………..                              EMAIL 2…………………………………………………………………….



                                                         CODE OF CONDUCT

 South Western Region requires all parties within the competition to treat umpires, officials, players and supporters, and all related
 property, with respect. This can be achieved by:

 PLAYERS
    Play by the rules
    Never argue with an official
    Control your temper. Verbal abuse of officials or other players is not acceptable or permitted
    Work equally hard for yourself and / or your team
    Be a good sport
    Treat all players as you would like to be treated
    Co-operate with coaches, team mates and umpires

 I understand the above guidelines and hereby agree to abide by the Constitution, Code of Conduct and By-Laws of the Club and
 Regional Committee

PLAYERS SIGNATURE……………………………………………………………………………………

 PARENTS/GUARDIANS
 All Parents/Guardians are requested to carefully read the Code of conduct
       Focus on the children's efforts and performance rather than winning or losing
       Encourage children to always participate according to the rules
       Never ridicule or yell at a child for making a mistake or losing a game
       Remember children learn best by example. Applaud good play by all teams
       Support all efforts to remove verbal and physical abuse from sporting activities
       Respect official’s decisions and teach children to do likewise
       Show appreciation of volunteer coaches, officials and administrators. Without them your child could not participate
       Consumption of alcohol is NOT permitted at ANY junior games

 I / We understand the above guidelines and hereby agree to abide by the Constitution, Code of Conduct and By-Laws of the Club and
 Regional Committee.

PARENT(1) SIGNATURE………………………………….. PARENT(2) SIGNATURE:………………………………..




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                                                   HOLSWORTHY TIGERS
                                          JUNIOR AUSTRALIAN RULES FOOTBALL CLUB
                                                REGISTRATION FORM - 2006



                                                                MEDICAL DETAILS

Does the player suffer from an illness, disability or allergies?                              Yes / No (if yes please specify)




Should any injury occur the Club will at all times endeavor to notify the parent / guardian, but should an
emergency exist, I / We grant the Club or official the authority to seek ambulance and / or medical attention.


  SIGNATURE OF PARENT / GUARDIAN: ...........................................................................................................


                                                         VOLUNTEER INFORMATION

Please indicate below if you are able to assist the club as a volunteer:

1. Please circle the following:

Have you played AFL: Yes / No

Have you coached AFL: Yes / No

Have you completed an AFL coaching course:                    No / Level 1 / Level 2 / Level 3

2. Occupation (Optional)
                                          1.………………………………………………………………..

                                          2.………………………………………………………………..

3. Please indicate if you are available to assist with any of the following (please tick):

Coach                                            Field Umpire                                          Canteen

Manager                                          Goal Umpire                                            BBQ

Trainer                                          Boundary Umpire                                        Social Committee

Any other volunteer position:…………………………………………………………………………………………………


                                                                CLUB REGISTRAR

I confirm that the players birth date has been verified by a responsible Club Official and will be accurately contained
in any reports to the Regional Committee.

CLUB REGISTRAR:……………………………… DATE:………………Receipt # …………………….$ ………………….




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