BEACON HILL YOUTH CLUB INC
ABN 75 941 903 192
www.beaconhill.netaball.asn.au
NET SET GO NETBALL REGISTRATION
2013
PARENT’S FIRST NAME
SURNAME
ADDRESS
SUBURB
POSTCODE
HOME PHONE
EMAIL
MOBILE PHONE
OTHER
PLAYERS FIRST NAME
D.O.B.
SCHOOL
T shirt size
Total Fees
$75.00
Youthclub Membership
N/A
Fundraising Levy
N/A
I HEREBY MAKE APPLICATION for Family Membership of the Beacon Hill Youth Club Inc. and agree to
abide by the Rules and Regulations of the Club, with particular reference to the following:RULE 6A Teams will not be entered in local competitions should they not receive the full support of parents
and interested persons to act in the capacity of managers and coaches etc.
RULE 7
The Club accepts no responsibility for injuries sustained by members.
I ALSO AGREE to allow photographs of my daughter to be placed on the Beacon Hill netball web site.
Photos will only be of groups of children and will not include personal information such as names
Signed: ……………………………………………… (Parent/Guardian/Player)
Payment:
Cash
Credit
card.
Rec.No.: