Waverley Park Hawks Junior Football Club Inc. (formerly the Waverley Panthers) Postal Address: PO Box 3269 Wheelers Hill Victoria 3150 Ground Location: Columbia Reserve Columbia Dve Wheelers Hill ABN: 14 775 166 033 Affiliated with the South Metro Junior Football League www.wphawks.org.au 2013 REGISTRATION INFORMATION 2013 Returning Players In 2013 the Waverley Park Hawks will be using on-line registration for returning players. The on-line registration process requires a username and password for use. If you do not know your username and password then you can request it in the first step of the registration process. Registration fee payments can be made using Visa or MasterCard at the time of registering. Those who wish to pay registration fees by cash or cheque, will still need to register on-line and then complete the 2013 Registration Fee Payment form and forward payment (cheque or credit card only) to The Registrar Waverley Park Hawks PO Box 3269, Wheelers Hill 3150 The link for on-line registrations is available via the club’s web site: www.wphawks.org.au 2013 New and/or Transferring Players (Girls and Boys/Mixed) New players to the club and players transferring from another club need to: • complete the SMJFL Player Registration - Transfer Form (all Sections), • provide a copy of a Proof of Age document (Birth Certificate, Passport, Health Centre Book, or Baptismal Certificate), and • complete the Registration Fee Payment Form The SMJFL Registration - Transfer Form requires the signature of both the player and at least one parent/guardian. Note players should retain a copy of the SMJFL Conditions of Registration for their reference. Completed forms together with payment (cheque or credit card only) and copy of a proof of age document can be sent to: The Registrar Waverley Park Hawks PO Box 3269, Wheelers Hill 3150 Registration Fees Boys/Mixed Teams (Sunday competition) The Registration Fees for players in Boys/Mixed teams for the 2013 season are as follows: 1 child 2 children 3 children 4 children 5 children 6 children $175 $295 $380 $440 $500 $560 New players to the club including those transferring from another club: $160 Girls Teams (Saturday competition) The Registration Fees for players in Girls teams for the 2013 season is $100 per player. This includes a Waverley Park Hawks shorts/socks pack and bag. Further Information Should you require further information or have any questions, please contact the club’s Registrar: Danielle O'Neill Tel: 0438 407 525 E-mail: [email protected] CLUB COPY PLAYER REGISTRATION / TRANSFER FORM All new players, players beings transferred from Auskick or Players being transferred from another club are to complete this league registration / transfer form, before being registered as a member with the SMJFL for the current season. 1. ALL PLAYERS & PARENTS are required to READ conditions of registration (page 3) and complete and sign the form below. 2. Club registration secretary is required to enter ALL new registrations and transfer requests through the online footyweb database. 3. Clubs are to hold onto all registration / transfer forms and proof of age documentation. Clubs may need to present registration forms and copy of proof of age when requested by the league. APPLICATION TO PLAY WITH _________________________________________________ FOOTBALL CLUB ALL FIELDS ARE COMPULSORY AND MUST BE COMPLETED – FAILURE TO DO SO WILL DELAY THIS REGISTRATION SECTION 1 – REGISTRATION FIRST NAME: _____________________________ MIDDLE NAME: __________________________ SURNAME: _____________________________ DOB: ___/___/_______ GENDER: M F ADDRESS: No: ____________STREET: ________________________________________________ SUBURB:________________________________________ STATE: _______ POSTCODE: _________ HOME PHONE: ____-_______________-__________________MOBILE: _________-________-_______ EMAIL: _______________________________________________________________________________ In which country were you born? Australia Other (Please Specify) ___________________________ Date of Birth…………./………..…/……….…. Proof of Age Supplied (MUST BE PHOTOCOPY) Please circle. Birth Certificate Passport Health Centre Book Baptismal Certificate Letter from School on Letterhead confirming D.O.B. Parent / Guardian Contact 1 Parent / Guardian Contact 2: Name: _________________________________________ Name: ____________________________________________ Contact No:_____________________________________ Contact No:________________________________________ Email: _________________________________________ Email:_____________________________________________ Q1 – Have you played competition football before? No Yes If YES proceed to question 2, if NO proceed to question 3 Q2 – Have you played competition football in the past 24 months? No Yes If YES proceed to section 2, if NO proceed to section 4 Q3 – Have you participated in any Auskick program before? No Yes If YES proceed to section 3, if NO proceed to section 5 Section 2 – Transfer (From another club) Details of the last club played with, this is the club from whom the TRANSFER is being sought: Last Club Played With: _____________________________ Date Registered: ________________________________ League / Association: _____________________________ Date Last Played: ________________________________ Section 3 - Auskick Q1 – Have you participated at an Auskick centre before? No Yes If YES please proceed to question 2 Q2 – If yes which Auskick centre? ____________________ Section 4 – Player History Q1 – Have you ever been suspended by any Association/League Tribunal? No Yes If YES please provide details Year: _________ League: _______________________________ Club: ______________________ Total Suspension: __________________ Year: _________ League: _______________________________ Club: ______________________ Total Suspension: __________________ Q2 – Are you currently under suspension by any Association/League Tribunal? No Yes If YES please provide details Year: _________ League: _______________________________ Club: ______________________ Total Suspension: __________________ If the player has previous tribunal history, a copy of this form must be sent to the league. CLUB COPY Section 5 – School Information School Name:______________ School Suburb:___________________ Section 6 – Medical Information Medicare No:_______________________ Ambulance No:______________________ Private Health Insured: Yes / No Healthcare Provider:_________________ Doctor’s Contact No: ____________ Doctor’s Name:______________________ Existing Medical Conditions: _____________________________________________________________________________________________________ _____________________________________________________________________________________________________ _____________________________________________________________________________________________________ Medication Details: _____________________________________________________________________________________________________ _____________________________________________________________________________________________________ _____________________________________________________________________________________________________ Last tetanus shot:_____________________ First parent to contact if player is injured: ________________________ Section 7 – League / Club Communications I agree to receive communications from the association and / or club and their associated partners that are related to my participation in the association. Communications include newsletters, emails and SMS which may contain a commercial purpose (that funds the cost of transmitting the message) and may not include an ability to opt-out, as such communication enables the association to operate effectively. I can stop receiving the messages by contacting South Metro Junior Football League at [email protected] or 9553 5985. League / Club Sponsor Info: Yes, I do Consent No, I don’t consent Section 8 - Declaration I DECLARE that I have read (and agree to be bound by) the conditions of registration and appeal procedures on this form and that the above particulars are, to the best of my knowledge, and belief, true and correct. I also authorize the league to which I desire registration, to advise my former league of this application via an electronic summary and to obtain details of my tribunal history. Signature of Player ................................................................. Date ............... / ................. /……………… Parent’s/Guardian Signature…………………………………… (If the Player has not attained the age of 18 years) Date ………../ ……………. / …………….. Club Use Only Proof of age cited (no new player can be registered with the SMJFL until a copy of the proof of age documentation has been secured by the club.) Signed (Pres/Sec/Registrar) ……………………………..…...…for .................. ……………….………………Football Club Date……/……../…… On behalf of the football club, I declare that the above particulars are, to the best of my knowledge true and correct. PLAYER COPY SMJFL CONDITIONS OF REGISTRATION I DECLARE that I have read (and agree to be bound by) the conditions of registration and Codes of Conduct below and that the above particulars are, to the best of my knowledge, and belief, true and correct. PLAYER BOUND BY RULES, REGULATIONS AND POLICIES OF THE CLUB, THE LEAGUE AND AFL VICTORIA By signing this Transfer/Registration Form, the Player: a) agrees that he or she be bound by the Rules, Regulations and Policies of the Club, the League and AFL Victoria (“AFLV”) as they are presently constituted and as amended from time to time including the AFL Victoria de-registration. b) acknowledges that he or she may inspect copies of the Rules, Regulations and Policies of the Club, the League or AFLV during normal business hours at the respective offices of those organisations; and c) acknowledges that his or her failure to adhere to the Rules, Regulations and Policies of either of the Club, the League or AFLV may result in him or her being de-registered. ASSUMPTION OF RISK By agreeing to the conditions set out in this Registration Form, the Player acknowledges and agrees that:a) Australian Football is a body contact sport in which physical injury may occur from time to time; b) he or she is none the less desirous of playing Australian Football for the Club; and c) he or she takes upon himself or herself the risk (both physical and legal) of injury arising in the course of training for and participating in the game of Australian Football. REGISTRATION OF PLAYERS UNDER 18 YEARS OF AGE Where the Player is under 18 years of age, by signing this Registration Form the Parent or Guardian of the Player:a) hereby acknowledges that he or she has read and explained the contents of this Registration Form (including Conditions 1 and 2 above) to the Player; b) declares that the statements made in the Registration Form are to the best of his or her knowledge and belief , true and correct. PRIVACY POLICY The primary purpose of South Metro Junior Football League obtaining the information in this form is in relation to your application for your player registration / transfer. South Metro Junior Football League may also use your information for other purposes agreed to by you. South Metro Junior Football League will take all reasonable steps to protect your personal information from misuse or unauthorized disclosure. PLAYERS • Play by the rules • Never argue with an official. If you disagree, have your Team Manager approach the official during a break or after the competition. • Control your temper. Verbal abuse of officials and sledging other players, deliberately distracting or provoking an opponent are not acceptable or permitted behaviours in any sport. • Work equally hard for yourself and/or your team. Your team’s performance will benefit, so will you. • Be a good sport. Applaud all good plays whether they are made by your team or the opposition. • Treat all participants in your sport as you like to be treated. Do not bully or take unfair advantage of another competitor. • Cooperate with your coach, team-mates and opponents. Without them there would be no competition. • Participate for your own enjoyment and benefit, not just to please parents and coaches. • Respect the rights, dignity and worth of all participants regardless of the gender, ability, cultural background or religion. • No player is to partake in any form of “cyberbullying”. For full policy, please refer to the SMJFL By-Laws. PARENTS • Remember that children participate in sport for their enjoyment, not yours. • Encourage children to participate, do not force them. • Focus on the child’s efforts and performance rather than winning or losing. • Encourage children always to play according to the rules and to settle disagreements without resorting to hostility or violence. • Never ridicule or yell at a child for making a mistake or losing a competition. • Remember that children learn best by example. Appreciate good performances and skilful plays by all participants. • Support all efforts to remove verbal and physical abuse from sporting activities. • Respect officials’ decisions and teach children to do likewise. • Show appreciation for volunteer coaches, officials and administrators. Without them, your child could not participate. • Respect the rights, dignity and worth of every young person regardless of their gender, ability, cultural background or religion. SPECTATORS • DO NOT use foul language, sledge or harass players, coaches or officials. There are fines applied for doing so. • Remember that young people participate in sport for their enjoyment and benefit, not yours. • Applaud good performance and efforts from all individuals and teams. Congratulate all participants on their performance regardless of the game’s outcome. • Respect the decisions of officials and teach young people to do the same. • Never ridicule or scold a young player for making a mistake. Positive comments are motivational. • Condemn the use of violence in any form, whether it is by spectators, coaches, officials or players. • Show respect for your team’s opponents. Without them there would be not game. • Encourage players to follow the rules and the officials’ decisions. • Respect the rights, dignity and worth of every young person regardless of their gender, ability, cultural background or religion. Waverley Park Hawks Junior Football Club Inc. Postal Address: PO Box 3269 Wheelers Hill Victoria 3150 Ground Location: Columbia Reserve Columbia Dve Wheelers Hill (formerly the Waverley Panthers) ABN: 14 775 166 033 Affiliated with the South Metro Junior Football League www.wphawks.org.au 2013 REGISTRATION FEE PAYMENT FORM 1. REGISTRATION FEES & PAYMENT Players’ Names: Girls only $100 per child Boys/mixed only 1 child $175 2 children $295 3 children $380 4 children $440 $15 discount for new or transferring players early bird discount for registrations received prior to 31 December 2012 How will you be paying: Cash Cheque 5 children $500 6 children $560 Credit Card ( Master Card and Visa only) 2. PUT A SCORE ON THE BOARD DONATION I/we wish to make the following donation to the Put a Score on the Board campaign:: $25 $50 $100 $250 Other $ ……………………… 3. CREDIT CARD PAYMENT AUTHORITY Card No: Card type: Name (as appears on card): Card Expiry Date (mm/yy): I authorise the Waverley Park Hawks to debit my credit card for the amount of $ ……………………… Signature: ………………………………………………………………… Office Use Only: Date Paid:…………………..…..…..…… Receipt Number: ……………………………. Payment Type: ……………………
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