Sports Registration and Payment Form 2016
Welcome
Rose Park Primary School has a strong
tradition of student involvement in after
school sports. With the assistance of
parent/carer volunteers in coordinating,
coaching and managing positions we are
able to offer a large range of sports.
More information and contact details for
each sport are on the Sports Notice
Board.
Fees for 2016
Players are not
registered until
payment is
received.
$70 for one sport
$130 for unlimited
sports!
How to Register
Keep this page for your
reference. Complete the second
page of this form and return to
Front Office with payment by the
due
date.
Deadlines
for
nomination may vary between
sports. Early return of forms is
appreciated as this greatly
assists with team planning. 
What Happens Next?
You should receive a
note, email or text from
the coach/manager for
each nominated sport at
least 1 week prior to
first game. First training
is usually a week or two
before first game.
Please note:
Information provided below is based on previous years’ experiences and is intended as a guide only. There is a small possibility of
changes by the organising association or coach.
SPORT
Football (AFL modified rules)
DUE DATE
25 March 2016
(You must return the nomination
form by this date. Earlier return
of forms is appreciated)
Season(s)
Winter– Terms 2 & 3 , 2016
Gender
Mixed
Eligibility
Years 2 to 7 (note Auskick is available for Yr 1 and under, see other comments section below)
Trainings
Games
Uniform
Once a week after school. Days, times and location to be advised.
Saturday mornings + one Friday night game (depending on draw). Times and location to be advised
School provides football guernsey, players provide shorts, socks, football boots and mouthguard. On
occasions Rose Park players have merged with another school to form a combined school team,
consequently the required uniform may not be the same as the Rose Park strip. The Rose Park uniform
of royal blue football shorts, royal blue long sports socks with yellow strip at the top are available at
the uniform shop or sports store.
Other requirements
Mouthguard (either from pharmacy/sports shop or dentist). Note some health funds provide one dental
fitted mouthguard for your child each year.
Equipment
School provides all balls and umpiring equipment
Other comments
School football is available to boys and girls enrolled in Yr 2 to Yr 7. To assist beginners and to make
the game safe and enjoyable for all players, games are played using AFL modified rules. Player
numbers determine the teams that are formed. We usually combine school years to form three teams,
these being Yr 2&3, Yr 4&5 and Yr 6&7.
Auskick for Yr1 and under has a separate registration process around March each year. Auskick
training occurs Saturday mornings on the school block and is co-ordinated by the AFL. If you register
for Auskick and/or end up playing for the school, players will have an opportunity (depending on the
draw) to play at half time during an AFL and/or SANFL game, participate in lightning carnivals, play
the occasional Friday night game under lights with a yellow ball and attend footy clinics run by the
SANFL/AFL.
Questions?
Contact the football coordinator:
Stephen Foo
T 0409 695 938
Rose Park Primary School 2016 FOOTBALL NOMINATION
Season: Winter– Terms 2 & 3, 2016
PLAYER PERSONAL DETAILS
First Name: ______________________________
Family Name: _______________________________ Age Now: ________
Date of Birth: ______________ Year Level: ______ Class Teacher: __________________________ Room Number: _______
Medical Information: Please complete and attach additional information if required.
Allergies
Yes / No
Allergy Details:
Asthma
Yes / No
Any other existing ailments or medical issues? Please provide details here.
Diabetes
Yes / No
Heart Condition
Yes / No
PARENT/CARER DETAILS
Parent/Carer 1
Parent/Carer 2
Name: ________________________________________
Name: ________________________________________
Mobile: _________________________
Mobile: _________________________
Email: ___________________________________________
Email: ___________________________________________

Tick box if you want to receive messages from coach/manager re
trainings, games, general information etc

Tick box if you want to receive messages from coach/manager re
trainings, games, general information etc

Tick box if you can be contacted in the event of emergency

Tick box if you can be contacted in the event of emergency
OTHER EMERGENCY CONTACTS
If parent(s)/carer(s) can’t be contacted in the event of an emergency, please provide additional emergency contacts below:
Name: _____________________________ Relationship to player: ____________________ Phone: ______________________
Name: _____________________________ Relationship to player: ____________________ Phone: ______________________
HOW CAN YOU HELP?
No coach = No team. Many hands make light work and every bit helps. You don’t have to know how to play the game to help.
Parent/Carer Name
I am happy to (please tick all that apply): (note not every sport requires all these helpers) 
Coach
Assist. Coach
Manager
Assist.
Manager
Help at Games
Help at Trainings
PARENT/CARER ACKNOWLEDGEMENT
NOTE: Rose Park Primary School Sports Policy document is available on the school website or from the Front Office.
I understand that registration to play in an after school sport team for Rose Park Primary is not completed until payment has been
made. I have read and understood the requirements of both player and parents in registering for after school sporting teams as
detailed in the School Sports Policy.
Name of Parent/Carer completing this form: ________________________________ Signed: ____________________________
PAYMENT ADVICE
Player Name: ______________________________ 2016 Sport(s) __________________________________________________
 TICK THIS BOX IF YOU HAVE ALREADY PAID FOR MULTIPLE SPORTS THIS YEAR AND NO FURTHER PAYMENT REQUIRED.
Method of Payment:
 Cheque
 Cash
 Visa
 MasterCard
 Bizgate
Card Number: ___ ___ ___ ___ ___ ___ ___ ___ ___ ___ ___ ___ ___ ___ ___ ___
Expiry: ____/_____ CCV No. ___ ___ ___ I authorise the school to draw on my Visa/MasterCard for the amount of $ _____
Name of Cardholder: ______________________________________ Authorisation Signature: _________________________
Office Use Only:
Receipt Number: __________________________________________ Date: ______________________