2017 WINTER SEASON TEAM NOMINATION FORM PRIORITY PREFERENCE CLOSES WEDNESDAY 1 MARCH 2017. ALL OTHER NOMINATIONS WILL BE CONSIDERED IN ORDER OF ENTRY. TEAM NAME FIRST CONTACT ADDRESS SUBURB POSTCODE MOBILE # OTHER # EMAIL SECOND CONTACT MOBILE # OTHER # EMAIL SPORT ** HEAD HEIGHT RULE NOT APPLIED [NUMBER PREFERENCES WHERE APPLICABLE] BASKETBALL NETBALL INDOOR SOCCER OUTDOOR SOCCER OTHER MON MENS TUES LADIES MON REBOUND MON REBOUND TUES VOLLEYBALL MON LADIES TUES MIXED WED FUTSAL TUES REBOUND** MON AM NETBALL WED MENS THUR LADIES THUR REBOUND WED FUTSAL THUR AM NETBALL SUN MIXED BBALL THUR MIXED SUN REBOUND THUR REBOUND** B GRADE C GRADE D GRADE GRADE PREFERENCE A GRADE E GRADE PLAYERS - Please list the names of anyone who will be a regular player AUTHORISATION I, as supervisor/person in charge and responsible for this group, acknowledge that I have read the TERMS OF PARTICIPATION & PLAYERS CODE OF CONDUCT and have explained the conditions of use to all members of the group and acknowledge that I am responsible TEAM SUPERVISOR SIGNATURE X DATE OFFICE USE ONLY DATE RECEIVED DATE WITHDRAWN H:/Sports Hall/2017 WINTER/17wTNF.pdf Date: 16 JANUARY 2017 PO Box 142 LEEDERVILLE 6903 . [email protected] . PH (08) 9227 6526 . FAX (08) 9227 6706 I will ensure that all participants of my team conduct themselves within the spirit of the game, and give respect to all players and officials at all times. Any breach of this code of conduct will result in disciplinary action imposed by the Management of Loftus Recreation Centre. Continual misconduct will also result in removal of the team from the competition. PLAYERS CODE OF CONDUCT On behalf of the team named on this form, I declare that we will participate in all matches programmed for the duration of this season (6 months) including preseason and finals matches and undertake to honour all fines and suspensions that may be imposed on this team by the Management of Loftus Recreation Centre. Excessive forfeits may result in removal of the team from the competion. In the event that it becomes necessary to enlist the services of a third party to collect monies on behalf of Loftus Recreation Centre, it is understood that the costs associated with the collection will be charged to the team contact. I warrant that our team is physically fit and able to engage in exercise and fitness programs. I acknowledge that no alcohol is to be consumed within the Centre. Anybody found to have possession of, or be under the influence of alcohol will be asked to vacate the premises. This is an application to join one of the activities at the Centre and no guarantee is given that it will be successful. Where teams cannot be included in the competition, they will be notified and a refund of the nomination fee will be sent to the team contact. I, and if being a minor, my parent(s)/guardian(s), for and on behalf of my team, acknowledge that during all such times as we are on the premises of or included in any activity external to the premises which is organised, approved or endorsed by Loftus Recreation Centre as an activity for us to take part in, both our property and person shall be at our own risk and we will not hold Loftus Recreation Centre or Belgravia Leisure liable for any personal injury or loss of property whatsoever whether caused by the negligence of Loftus Recreation Centre, its servants, agents, independent contractors, voluntary workers, other users of the facility or participants in the activities or spectators or other parties providing services through or in the facilities of Loftus Recreation Centre. Therefore, players are responsible for arranging their own insurance. TERMS OF PARTICIPATION I, * Fees are subject to change $115.00 GAME FEE PLUS $40.00 FORFEIT FEE (UNDER 1 HOUR NOTICE) WITHDRAWAL FEE GAME FEE PLUS $15.00 FORFEIT FEE (OVER 1 HOUR NOTICE) GAME FEE $15.00 MISSED GAME PAYMENT/OVERDUE FORFEIT FEE FORFEIT FEE (OVER 48 HOURS NOTICE) $72.00 TEAM NOMINATION FEE GENERAL FEES* WEEKLY GAME FEE $64.00 GAME DURATION 45 minute timeslots (3 minute warmup) Tuesday Volleyball VOLLEYBALL WEEKLY GAME FEE $64.00 GAME DURATION 30 minute timeslots (2 x 15 minute halves) Monday, Tuesday, Thursday, Sunday Rebound, Wednesday Futsal SOCCER (INDOOR & OUTDOOR) WEEKLY GAME FEE $77.00 GAME DURATION 45 minute timeslots (4 x 10 minute quarters) Tuesday & Thursday (Ladies & Mixed), Monday & Thursday (AM) NETBALL WEEKLY GAME FEE $64.00 GAME DURATION 45 minute timeslots (2 x 20 minute halves) Monday & Wednesday (Mens & Ladies) Sunday (Mixed) BASKETBALL GENERAL INFORMATION 5 - 16 MARCH 2017 19 - 23 MARCH 2017 PRESEASON GRADING SEASON COMMENCES www.loftusrecreationcentre.com.au . GRAND FINALS & PRESEASON (08) 9227 6526 10 -14 SEPTEMBER 3 -7 SEPTEMBER 1 MARCH 2017 NOMINATIONS CLOSE SEMI FINALS & PRESEASON 22 JANUARY 2017 NOMINATIONS OPEN EMAIL ENQUIRIES: [email protected] 2017 WINTER SEASON www.facebook.com/LoftusRecreationCentre GENERAL INFORMATION & FORM TEAM SPORT NOMINATIONS T Loftus Recreation Centre 99 Loftus St Leederville WA 6007 (08) 9227 6526 /loftusrecreationcentre /loftusrec January 27, 2017 Dear Team Captain, RE: Winter 2017 at Loftus Thank you for participating in the Loftus Summer 2017 season of social sports. As you know, we are now reaching the end of the season, and it is time to renominate for our Winter 2017 season. To secure your spot in the new season, it’s best to nominate as soon as possible. New Season Benefits There are a few things that we hope you will benefit from heading into the new season. Firstly, as with last season, we are again offering a 3 month full membership for all team captains, valued at $240. All other players will also be entitled to a free 7 day pass. This membership will include access to over 50 group fitness classes, including Pump, RPM and Yoga, and a complementary appraisal to get you started in the gym with a personalised program. Facebook Group In order to make it easier to find fill-in players, we have also set up a Facebook group called ‘Loftus Rec Centre Casual Players and Teams’. This has been created specifically to assist in connecting individual players with teams that are short of players. The group is growing, so why not come join us in the group in case you need new players? End of Season Tournament At the end of next season, some of the finalists from each night will be invited to compete in a champions’ league to test themselves against other leagues (eg Tuesday vs Thursday Netball, Monday vs Wednesday Basketball, etc.) There’ll be prizes on offer for the winners of the tournament, so best of luck with the regular season! As always, if you have any questions, please don’t hesitate to contact me. Best of luck with the upcoming finals and we look forward to the next season with you at Loftus! Healthy Regards Mosese Talemaitoga Sports Manager
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