Parklands Netball Club Inc.
c/- Darebin YMCA
857 Plenty Road, Reservoir 3073
[email protected]
www.parklandsnetball.com.au
Registration Form S2 2017
Please return form with $50 deposit in person by 23rd June 2017
Player Name:____________________________________________________Date of Birth:_______________________
Address: _________________________________________________________________________________________________________
Suburb: _______________________________________________________________________ Postcode: ________________________
Home Phone: __________________________________
Mobile: ________________________________________________
Parent/Guardian Email Address:______________________________________________________________________________
(This is used for invoices and general correspondence – please check regularly.)
Parent/Guardian 1 Name: ___________________________________________ Mobile: ______________________________
Parent/Guardian 2 Name: ___________________________________________ Mobile: ______________________________
Did you play with Parklands in Season 1 2017 ? Yes / No
What Team did you play with
__________________________?
U9 & U11 Only: If possible, I would like to play with the
Please indicate your preferred playing positions below:
following friends. Please include friend’s full name
(1) ___________ (2) ___________ (3) ___________
(1)_______________________________________
GS – GA – WA – C – WD – GD – GK
(2)_______________________________________
** The Club may use photographs and other images of players on our website and social media. If you object to
this please notify the President. Otherwise registration is deemed to have the consent of the parent or guardian.
Comments or Feedback:
Please enclose a non-refundable deposit (or copy of online bank transfer receipt) to secure your
position. Balance of fees due by 28th July 2017
Deposit for Season 2 is $50
Office Use Only
Item
Fee
Net Set Go U-9
Standard Fee
Uniform - $60 Dress / $45 Singlet
VNA Registration
Sibling Discount
Total
$130
$185
$60
$50
-$10
Office Use Only
Receipt Number:
Total
Fees
Payment Amount
Cash
/
Cheque
Direct Deposit Date:
Please make EFT payments to: BSB 033-028 A/C 291541
Reference: Player’s surname and Deposit.
If unable to attend registration night, please scan and email this form to [email protected]