Schools Cup Entry Form
North Coast Region
School Name:
School Postal Address:
Suburb/Town:
School Phone:
Postcode:
School Email:
Sport Organiser Name:
Sport Organiser Mobile:
Sport Organiser Email:
Our school wishes to enter teams in the following Phase 1 Local Day (please tick one of the boxes):
Coffs Harbour – Wednesday 2 April 2014
Kempsey – Thursday 3 April 2014
(maximum number of team entries for this venue is 96)
(maximum number of team entries for this venue is 72)
Entries close Friday 21 March 2014
Entries close Friday 21 March 2014
Port Macquarie – Wednesday 9 April 2014
Taree – Thursday 10 April 2014
(maximum number of team entries for this venue is 78)
(maximum number of team entries for this venue is 78)
Entries close Friday 28 March 2014
Entries close Friday 28 March 2014
Teams are to comprise of no more than 10 participants. Please refer to the Netball NSW Schools Cup Competition Rules document for
details on how to progress to the Regional and State phases of the competition.

Regional Final (Phase 2) North Coast region - Wednesday 25 June 2014 at Nambucca Valley Netball Association, Macksville.

State Final (Phase 3) - Tuesday 16 September 2014 in Sydney at the Anne Clark Centre, Lidcombe*.
*Venue subject to change. Participants will be notified of any changes.
**Please note that a minimum amount of teams is required for each competition, teams will be notified should any be cancelled.
Competition
Experience Level
Option 1: Year 5/6
Option 1: Beginner
Team Name
Option 2: Year 7/8 Girls
Option 2: Intermediate
Umpire Name
e.g. Sylvania Swifts
Option 3: Year 7/8 Boys
Option 3: Advanced
e.g. Sharon Kelly
Team 1
Team 2
Team 3
Team 4
Payment Amount $30 per team: (all fields must be completed)
Please note cash will not be accepted. If you are not wishing to pay via credit card please supply a cheque or money order, made payable to
Netball NSW. I authorise Netball NSW to charge my credit card $30 per team as payment for the Netball NSW Schools Cup.
Payment Method:
Invoice School
Cheque (enclosed)
Credit Cardholders Name:
Credit Card Number:
Expiry:
CVV:
Cardholder Signature:
Date:
Visa
Mastercard
Registration forms must be returned to:
Rachelle Finlayson - Netball NSW Regional Coordinator North Coast & Far North Coast
Email| rfinlayson@netballnsw.com Fax| (02) 9951 5099 Post| Suite 7/71 Albany St, Coffs Harbour NSW 2450 Phone| (02) 6651 7730
It is essential to receive a confirmation email from Netball NSW that you have been accepted into the Netball NSW Schools Cup. Please note Netball
NSW refunds and cancellation policy applies to the Netball NSW Schools Cup. This form serves as your credit card invoice and receipt.
Netball NSW Association Ltd | Anne Clark Centre, Church St, Lidcombe NSW 2141 | PO Box 396, Lidcombe NSW 1825