A. PLAYER DETAILS
Player Name:
Date of Birth:
Age on 31/12/16
Netball Victoria ID Number/mynetball ID no.
(if known)
Family members who have 2016 current first aid
qualification and are likely to attend matches
MOST RECENT GRADE/DIVISION PLAYING NETBALL
OTHER DETAILS ARE COLLECTED THROUGH ONLINE REGISTRATION
B. CONSENT AND ACKNOWLEDGEMENTS
Where it is impracticable for the VNC coach to contact me, I authorise the VNC coach and/or the club’s
representative, to seek medical treatment as may be deemed necessary by a duly qualified medical
practitioner.
Parent / Guardian Name: …………………………………………………………………….
Parent / Guardian Signature: ………………………………………………..…………….…
Date: …/ … /2016
I give permission for my child to become a representative player for the Victory Netball Club.
Parent / Guardian Signature: ……………………………………………..…………….……
Date: …/ … /2016
PHOTOGRAPHS/PUBLICITY
The club will be using photographs of the players in communications, promotions and newsletters. I give
permission for my child to be photographed by VNC representatives and for the photographs to be used in
VNC publications including our Website, Facebook page and the VCC school newsletter.
Parent/Guardian SIGNATURE: …………………………….…………..………………………
Date: …/ … /2016
CODE OF CONDUCT AGREEMENT
I have read the attached Victory Netball Club Codes of Conduct and hereby agree to adhere to them at all
times. VERY IMPORTANT: Please don’t sign this UNTIL you have read the VNC Codes of Conduct.
Along with players, parents and other spectators must abide by our code of conduct especially in:
 Behaviour – please be mindful that we are representing both our club and Victory Christian College
(VCC) when we play.
 Conduct ourselves in a way that brings honour to God and is representative of what it is to be a
Christian in a modern competitive society.
 Respect the decisions of COACHES, UMPIRES and officials and teach young people to do the same.
 Do not use foul language, make negative comments about any player on either team, sledge or harass
players, coaches or officials.
 Do not approach coaches or umpires during a game if you have a concern. Concerns must be
forwarded to the VNC Committee in writing either by letter or email within 24 hours of any incident.
 Actively show appreciation for all volunteer coaches, officials/umpires and administrators. Without
them, your child could not participate.
 Players are to return their hired uniform promptly at the annual Presentation Day/Night.
I have read the VNC Players Codes of Conduct and hereby agree to adhere to them at all times
Player Name: ……………..……………………………………..………………….…………………………………………………
Player SIGNATURE: …………...………………………………….…………………………..….
Date: …/ … /2016
Parent/Guardian Name: ………………………….………………………………………………………………………………….
Parent/Guardian 1 SIGNATURE: ….……………….….……………………….……………..
Date: …/ … /2016
Parent/Guardian 2 Name: ….…………………….………………………………………………………………………………….
Parent/Guardian 2 SIGNATURE: ……..………….……………………………………..……..
Date: …/ … /2016
C. UNIFORM PURCHASE OR HIRE
VNC WILL INVOICE YOU SEPARATELY FROM YOUR ONLINE PAYMENT FOR UNIFORM HIRE OR PURCHASE
REQUIRED UNIFORM – Year 5 and up
TICK IF YOU ALREADY OWN YOUR UNIFORM AND DO NOT NEED TO PURCHASE OR HIRE
TICK
DRESS
SIZE
DRESS HIRE NO.
COST
Purchase $ 80
Hire ($30) + Deposit ($20) = $50
REQUIRED UNIFORM – Year 2-4
TICK IF YOU ALREADY OWN YOUR UNIFORM AND DO NOT NEED TO PURCHASE OR HIRE
TICK
VNC POLO TOP
PERSONALISATION
write clearly what you
would like written
SIZE
POLO TOP HIRE NO.
COST
Purchase $ 35
Hire ($10) &
Deposit ($10)
VICTORY
D. ADDITIONAL CLUB APPAREL (optional)
Representatives will visit pre-season training sessions with samples and to help get
correct sizing. Apparel orders will NOT be processed until payment has been made
and cleared.
SIZE
$
Polo Shirt $35
PERSONALISED – please write clearly what you would like written:
Hoodie $45 ZIP/JACKET OR WINDCHEATER (please circle your preference)
PERSONALISED – please write clearly what you would like written:
Track Pants $35
PERSONALISED – please write clearly what you would like written:
TOTAL $:
(Apparel)
UNIFORM PAYMENT
(cross out if not applicable)
PLUS
TOTAL
$
PAYMENT
APPAREL PAYMENT
(cross out if not applicable)
ADMINISTRATION USE ONLY
Receipt Number:
Please pay ALL uniform payments by Direct Credit. If you are unable to pay via Direct Credit please contact
our Club Treasurer Ilka Mills on 0427 488 174 or email to [email protected] to discuss other options.
Please make Direct Credit payments to: Victory Netball Club
BSB: 633 000 (Bendigo Bank)
Account Number: 124 671 157
Reference: Please put your child’s surname and ‘Uniform’ and/or ‘Apparel’
Bendigo Strathdale Netball Association
PO Box 115 Bendigo VIC 3552
www.bendigostrathdalena.netballvic.com.au
PLAYER CODE OF CONDUCT REGISTRATION FORM 2016
(2 pages)
Please provide details for ALL sections
Family Name …………………………………………..………..………….
First Name ……………………………………………….…………………….
Club ……VICTORY NETBALL CLUB……….
Date of Birth ……/………/……….
MyNetball ID No. ……………………………….……….
Address (include postcode): ……………………………………….…………………………………………
……………………………………………………….……………………………………………………………….……….
Home Phone: …………………………
E-Mail Address ………..………………………………….………
Business Ph (Parent): …………………….……
Mobile No: ………………………………………….….…………….……….
PARENT / GUARDIAN PERMISSION
I ……………………………………………………….……………………………………………..give permission for
my child ………………………….………………………………………………………. to participate in the
Bendigo Strathdale Netball Association 2016 Competition.
I acknowledge that the Bendigo Strathdale Netball Association (BSNA) is run primarily by
volunteers and that its purpose is to facilitate the playing of netball only.
I understand that:
 It is my responsibility to supervise my child /children at all times when they are
within the competition complex/grounds.

I may be required to assist with practical duties such as court set up, post-game
clean up, time-keeping etc as requested by the Committee /Office Manager. I agree to
undertake these duties in a timely and responsible manner.

A Code of Conduct will be on public display throughout the season and is available
on the Netball Victoria website and it is my responsibility to familiarise myself and
my child/children with the expectations set out in these codes and to adhere to them
accordingly.
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Bendigo Strathdale Netball Association
PO Box 115 Bendigo VIC 3552
www.bendigostrathdalena.netballvic.com.au

Ambulance cover is the responsibility of the player or the parents of the player. An
ambulance will be called if considered necessary

Bendigo South East College is State Government land & smoking is not permitted
within the confines of the school fencing. Smoking will not be permitted on the
school grounds, including the spectator areas around the outside courts.
My child/children and I agree to abide by the rules and expectations of the Bendigo
Strathdale Netball Association.
Parent/Guardian (print name)…………………………………………Date……………………..
(sign name)…………………………………………………………..
Player (print name) ……………………………………………………...Date………………..……
(sign name)………………………………………………………………………...

Please note - filming and photographs may be taken throughout the year of players
and coaches by BSNA personnel. These photographs may be displayed on the
Association’s website, newsletters or through other media.
□
Tick this box if you do NOT give permission for your child to be photographed/filmed
whilst participating at netball.
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