Player Registration Form
2015/16
Please note: this information will not be passed on to any third parties and will only be used for Volleyball Wales purposes.
TEAM NAME:
DIVISION: South Wales League
FORENAME:
SURNAME:
DATE OF BIRTH:
GENDER:
ADDRESS:
POSTCODE:
HOME TEL:
MOBILE TEL:
E-MAIL:
Please tick if you do not wish your name or address to be included in any mailing or marketing lists
This enquiry is requested by Sport Wales for
monitoring purposes only.
Please indicate your ethnic origin by ticking one box.
White - British
Asian – Indian
Mixed –Caribbean
Black – Caribbean
White – Irish
Asian – Pakistani
Mixed – White & Asian
Black – African
White – Other*
Asian - Bangladeshi
Mixed – Other*
Black – Other*
Chinese
Asian – Other*
*Other Ethnic Group
This enquiry is requested by Sport Wales for monitoring purposes only.
YES
NO
Are you a Welsh Speaker?
Are you a qualified coach (if yes, what level)
Are you a qualified referee (if yes, what level)
“Federation of Origin” is the National Federation where a player is first registered. This does not necessarily have to be the same as the National
Federation that matches a players Nationality. For example, a player could be Polish by Nationality, yet first registered to play Volleyball in Wales,
so their Federation of Origin would be Volleyball Wales.
“Club of Origin” is the Club where a player was first registered.
FEDERATION OF ORIGIN:
CLUB OF ORIGIN:
An agreement is in place with Volleyball England where any player who currently plays for a club geographically
located in Wales should have a federation of origin as Volleyball Wales, and will be amended accordingly, unless
federation of origin is anything other than England.