Office use Only
2017 2nd Season (July-Dec)
Date received ......................
Date Paid ...........................
ENTRY FORM
CASH / CHQ / EFT
Date Entered NV............................
Date Entered BDNA ............................
BDNA Invoice # .......................
CLUB NAME
TEAM NAME
Mobile
Club/Team Contact
Email
…………………………………………………………
@…………………………………………… Girls / Modified Mixed (boys can play unrestricted of age up to 13/u competition, refer to ByLaws for rulings)
COMP
Sections
Available
Tuesday Comp - (9/u - 15/u)
Thursday Night
9/u
11/u
13/u
9/u Res
11/u Res
13/u Res
VNA #
Players Name
Open Ladies
Open Mixed
17/u
15/u Res
17/u Res
Previous season
competition/section
Saturday Comp - (9/u -17/u)
Please select preference - Ladies Section 1 2 3
15/u
Please select preference - Mixed Section 1 or 2
Team name last season
Comments / Time
time requests
request, players
/ multiple
in teams
ladies and mixed team?
1
2
3
4
5
6
7
8
9
10
11
12
I …………………………………………………….. Being ………………………………. Of the ………………………………………………………………………..
Netball Club/Team, herewith advise we have read the Administration Pack for 2016, and agree for our teams to abide by the Association's Constitution
and By-Laws and Netball Victoria Competition Regulations & Codes of Conduct for this coming year, we also agree to play at any time slot or venue fixtured for
for the year. We further understand that re grading may/may not occur, and that our ladder position at the end of the previous season will determine
our fixtured position. We know that the enticing of players to other Associations or Clubs not associated with Banyule Netball
by any member of our club or team is unacceptable, and if found to be happening within a BDNA run competition the relevant member, of our club or team will be
asked to leave the stadium by the Association staff/Board, and will also have to show cause to the committee as to why they should not be barred from
any competition run by BDNA within the stadium in future seasons.
SIGNED:
of the:
Netball Club/Team
Entries close July 7th 2017.
Clubs will be invoiced for all teams registration as a whole
Email form and EFT receipt to : [email protected]
Bank Details: BSB: 033 137
Account number: 205622
Account name:Banyule & Districts Netball Association Inc
Discription: 2017 (2) & (Please use team name)
□ Yes
□ No
Do you require a Tax Invoice??
Entry fee $45.00 (for non club teams)& signature above must accompany this form for you to be accepted into the competition
Do you allow photographs / video to be taken throughout the season
Yes
1
No
PLS CIRCLE