YOUNG PLAYERS DEVELOPMENT ACADEMY YOUNG PLAYERS DEVELOPMENT ACADEMY This Academy is designed to develop young players from Year This Academy is designed to develop young players from Years 9 to Year 13 who intend to play netball in 2016. This Academy offers skill development in all Netball specific areas, as well as generic tuition for all round athlete development. round athlete development. We are fortunate to have the expertise of Irene Van dyk, Sandra Edge, Pelesa Semu and some of our local coaches leading these seasons. Semu and some of our local coaches leading these seasons. When: 20th – 21st April 2016 Where: Colombo Road Netball Courts Colombo Road Masterton Registration: 8.30am Wednesday 20th April Costs: $60.00 (GST inclusive) If you are interest and wish to attend this academy, please complete the registration form overleaf. Registration Form Registration Form Young Players Development Academy Young Players Development Academy Closing Date: Closing Date: 8th April 2016 Surname: ________________________ First Name: _______________________ Address: ___________________________________________________________ Email Address:__________________________________________________________ __________________________________________________________ Home Phone: ____________________ Mobile Phone: ______________________ ____ Mobile Phone: ______________________ School: ____________________________ Year ________ Age: ______________ School: ____________________________ Have you attended a previous academy? Yes No Have you attended a previous academy? Yes No Playing Positions: ___________________ Playing Experience ________________ Relevant Medical History: _____________________________________________ elevant Medical History: _____________________________________________ Please list problems, allergies, prescribed medicines: _______________________ ___________________________________________________________________ Payment: Cheque Cash Direct Credit If paying via Direct Credit deposit into: If paying via Direct Credit deposit into: Netball Wairarapa Westpac, Masterton 03‐0687‐0324836‐00 ‐ ***please put YPD and NAME as reference ***please put YPD and NAME as reference Signed: _______________________________________ Privacy Netball Wairarapa is collecting this information n from you for the purposes of the administration and promotion of netball in the Wairarapa region. This includes the creation of databases so that we can provide netball information to you, other players, umpires, coaches, administrators, managers, netba netball centres, netball regions and Netball New Zealand. We may also use and disclose this information for marketing and sponsorship purposes although we will ensure that this does not unreasonably intrude on your privacy. Under the Privacy Act 1993, you have the right to access and correct your personal information. Photographs Photographs may be taken by Netball Wairarapa at this program. Photographs may be used by Netball Wairarapa to promote this on Facebook, website, newsletters and publications. No personal info such as names will be used unless express consent is given. This consent may be withdrawn at any-time upon written notice to Netball Wairarapa, PO Box 259, Masterton, 5840.
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