Welcome to the Northeast Zodiac Netball Club Inc.
Player registrations are now being accepted for the
WINTER 2014 SEASON
SA District Netball Association (SADNA) at Atlantis Drive, Golden Grove
Registration night is:
WEDNESDAY 5 FEBRUARY 2014
6.00 PM to 8.30 PM IN THE HALL
Please complete ‘Player Registration and Medical Forms’
and lodge them with full season fees to be eligible to trial
FORMS AND FEES CAN BE MAILED TO: PO BOX 780, SALISBURY 5108 before 05/02/2014
GRADE
Sub Primary
Primary
Sub Junior
Junior
Intermediate
‘A’ Grade / Senior
AGE GROUP
AS AT 31/12/14
Born 2005/06/07
7 , 8 & 9 years
Born 2003/04
10 & 11 years
Born 2001/2002
12 & 13 years
Born 1999/2000
14 & 15 years
Born 1997/98
16 & 17 years
16 yrs and over
WINTER
2014 FEES
$155
$155
$155
$160
$160
$170
GAMES WILL BE
PLAYED
Saturday
Noon
Saturday
1.10 pm
Tuesday
6.50 pm
Tuesday
8.10 pm
Monday night
7.00 pm
Monday night
7.00 pm or 8.30 pm
SELECTION TRIALS
GRADE
DATES
TIMES
COURT NO.
Sub Primary
Wednesday 19 February
6 pm - 7.30 pm
14 & 15
Primary
Wednesday 19 February
Wednesday 26 February
6 pm – 8.30 pm
6 pm – 8.30 pm
16 & 17
Sub Junior
Wednesday 19 February
Wednesday 26 February
5.30 pm – 8.00 pm
5.30 pm – 8.00 pm
18 & 19
Junior
Wednesday 19 February
Wednesday 26 February
5.30 pm – 8.00 pm
5.30 pm – 8.00 pm
12 & 13
Intermediate
Wednesday 19 February
Wednesday 26 February
7.30 pm – 9 pm
7.30 pm – 9 pm
20
‘A’ Grade /
Senior
Wednesday 19 February
Wednesday 26 February
7.00 pm – 9 pm
7.00 pm – 9 pm
15
PLAYER INFORMATION
1.
2.
3.
4.
5.
6.
7.
8.
9.
10.
11.
12.
13.
14.
15.
16.
All Registration and Medical Information Forms must be lodged on or
before 5 February 2014 and accompanied by full fees.
No Registration forms or fees will be accepted at the trials.
Selection is based on merit. No player is guaranteed a place in any particular team.
Players will be graded on preferred playing positions as shown on ‘Player Registration Form’.
Training is compulsory. All Grades / All Teams.
Sub Primary players must be 7 years of age before their first game of the season to register, subject to Club
Approval.
Players are expected to attend all selection trials. If you are unable to attend any trial,
please contact the Club Coach – Fraser Millsteed on 8288 8028 or 0432 878040 as soon as possible.
Once placement in a team has been accepted, players are expected to attend all Club training sessions and
play in all games.
The number of teams selected is dependant upon the number of coaches and umpires available
at the time of the trials.
Where the selectors have difficulty in grading a team(s), the Club reserves the right to name a
squad of two teams or more with players being named in their teams before commencement of the season.
The Club also reserves the right to adjust teams during pre-season training or during the season,
if the Grading Committee considers that such a movement is warranted.
It is Club policy that parents remain outside of the courts whilst trials are in progress.
Please refrain from loitering near the fence or calling out instructions to the players.
The Northeast Zodiac Netball Club Inc has in place a Member Protection Policy and Codes of Conduct.
The policy and codes apply to all players, parents/guardians, members, supporters/spectators,
Member Associations and Affiliated Clubs. Please ensure that they are upheld and adhered to.
Contact your coach or a committee member for copies of the information.
Please mail all correspondence to PO Box 780, Salisbury 5108.
Waiting list applies for new players in no grades this season.
Website :
www.northeastzodiacs.net
for all Club Info and Up & Coming Events ……
Winter 2014 SEASON DATES
The first night of training is on Wednesday 9 April 2014.
The first round of games starts Monday 28 April, Tuesday 29 April & Friday 2nd May 2014.
Sub Primary season ends with a carnival on TBA.
Finals start TBA
Grand Finals will be played on TBA.
TEAM/SQUAD PLACEMENT
Player selections will be advised by Team Placement List - www.northeastzodiacs.net
on Monday 7 April 2014 or on the board at first training. Please do not ring Head Coach for this information –
players will need to attend first training for team placement if not on website.
If you do not wish to accept your team placement, please inform the Club Coach, Fraser Millsteed on 8288 8028 or
0432 878040. On advice of this, your place will be offered to another player.
A selection trial fee of $50 will be retained by the Club (once grading has begun if player has attended or not), with
the balance of fees paid refunded.
TRAINING AND GAME VENUE
All Northeast Zodiac Netball Club Inc teams train at the Atlantis Drive Courts, Golden Grove.
This is also the venue where the SA District Netball Association (SADNA) conducts their competitions.
Individual coaches may occasionally elect to conduct a training session away from the usual venue.
This will not occur without permissions being sought from parents/guardians.
TRAINING TIMES ARE WEDNESDAY EVENINGS:
Sub Primary and Primary
6.00 pm to 7.15 pm
Sub Junior
6-7.15 pm or 7.15-8.30 pm
Juniors, Intermediate and Seniors
6-7.15 pm or 7.15-8.45 pm
** Times may vary
according to court space
and availability **
DISCOUNTS:
$25 Life Member discount.
$25 deduction on fees is offered to families for 3rd & subsequent players.
CLUB COACH:
Fraser Millsteed – phone 8288 8028 or 0432 878040 (Court 15 Wed nights)
RING FRASER NOW IF YOU ARE WILLING TO COACH A
TEAM
REGISTRATION ENQUIRIES:
CLUB TREASURER:
Recording Secretary
Jacinta Nelson
Jackie Forshaw
Phone 8289 6210
Phone 8250 2398
PLAYER REGISTRATION AND MEDICAL FORMS MUST BE LODGED AT
THE COURTS, ATLANTIS DRIVE, GOLDEN GROVE
WEDNESDAY - 5 FEBRUARY 2014 - 6 PM TO 8.30 PM
** ACCOMPANIED BY FULL FEES **
IF THIS CAUSES HARDSHIP TO YOUR FAMILY
PLEASE CONTACT THE CLUB TREASURER – JACKIE FORSHAW ON 8250 2398 …….….Now!
Please help your club committee who are all volunteers by registering on or before
5TH FEBRUARY
Late registrations may be placed on the waiting list and unable to attend trials.
If you cannot attend the clubrooms on 5 February PLEASE organise yourself in advance by
mailing the forms and payment to: PO BOX 780, SALISBURY 5108
(All credit card payments are not processed until 6 February)
Or ask for assistance from a committee member or friend before this date.
UNIFORM NIGHT: Wednesday 26 FEBRUARY 2014 - 6.00 TO 8.00 PM
SADNA Clubrooms - Atlantis Drive, Golden Grove
Items available are:
Socks $10 (Compulsory Item)
Drink Bottles $15, Hoodies $60, Headbands $10, Beanies/Caps $15
Purchases in full or orders must be placed on this night
(A deposit of $50 is required if ordering, with the balance due when collected)
PAYMENT CAN BE MADE BY CASH, CHEQUE OR CREDIT CARD (VISA, BANKCARD AND MASTERCARD)
CHEQUES ARE TO BE MADE PAYABLE TO: NORTHEAST ZODIAC NETBALL CLUB INC
THIS SEASON SPORTS POWER GOLDEN GROVE WILL BE THE STOCKISTS FOR OUR
NEW A-LINE DRESSES, SHORTS & TRAINING TOPS
ALL PLAYERS ARE REQUIRED TO PURCHASE THESE ITEMS DIRECTLY FROM THERE.
-----------------------------------------------------------------------------------------------------------
___________
PLAYERS NAME:
_________________________
PAY BY CREDIT CARD NUMBER:
____ ____ ____ ____
MASTERCARD / VISA / BANKCARD OR OTHER: _______
EXPIRY _ _
/ __
NAME ON CARD (PLEASE PRINT): _____________________________
SIGNATURE: _________________________ DATE: ________
PAYMENT OF: WINTER 2014 FEES
ALL CHEQUES PAYABLE TO:
AMOUNT: $
NORTHEAST ZODIAC NETBALL CLUB INC.
MAIL TO: PO BOX 780, SALISBURY 5108
A MEDICAL FORM MUST BE SUBMITTED EACH SEASON WITH THE REGISTRATION FORM
This information is confidential and will only be used in an emergency.
PO BOX 780, SALISBURY 5108
THIS MEDICAL FORM IS RETAINED BY THE TEAM COACH AND WILL BE DISPOSED OF AT THE END OF THE SEASON
PLAYERS
SURNAME ………………………….……….………………………
FIRST NAME ………….………..………………….………….…..
DATE OF BIRTH ………………/…………………/……………….
HOME TELEPHONE ……………………………………..……...
ADDRESS ……………………………………………………………...………..………………..……………………………………..….…
……………………..…..……………….
POSTCODE
.………….…
PLAYERS MOBILE …………………………………….…
MOTHER’S SURNAME …………………………………… FIRST NAME…………….………… MOBILE ………………………………
FATHER’S SURNAME …………………………………….. FIRST NAME………………….…... MOBILE ………………………………
STEP PARENT / ALTERNATIVE CONTACT PERSON ………………………………………….. MOBILE ..…………………………….
MEDICAL INFORMATION
PLEASE INDICATE
Are you currently receiving medical treatment of any type …………………………………… Yes / No
Do you suffer from a recurring medical condition ……………………………………………….. Yes / No
Epilepsy/convulsions/seizures …………………………………………………………………………. Yes / No
Fainting/Dizzy Spells or other sudden loss of consciousness ……………………………………. Yes / No
Heart Condition …………………………………………………………………………………………. Yes / No
Diabetes ………………………………………………………………………………………………….. Yes / No
Blood disorder …………………………………………………………………………………………… Yes / No
Vision or hearing condition ……….………………………………………………………………….. Yes / No
Asthma/other chest conditions .…………………………………………………………………….. Yes / No
Allergies to Drugs, Medicine, Bites or Stings ……………………………………………………….. Yes / No
Disability …………………………………………………………………………………………………… Yes / No
Learning difficulties …..…………………………………………………………………………………. Yes / No
IF YOU ANSWERED YES TO ANY OF THE ABOVE, PLEASE GIVE DETAILS:
____________________________________________________________________________________________________
____________________________________________________________________________________________________
OTHER RELEVANT INFORMATION: ____________________________________________________________________
____________________________________________________________________________________________________
IF YOUR CHILD TAKES MEDICATION BEFORE OR DURING A GAME OR TRAINING SESSION,
IT IS IN THEIR BEST INTEREST IF A PARENT/GUARDIAN BE PRESENT AT EVERY GAME OR TRAINING SESSION .
PLEASE READ CAREFULLY AND SIGN:
I/We authorise the coach and/or team officials to obtain medical assistance
which is deemed necessary and agree to pay all medical expenses incurred.
I/We agree that we will not hold Northeast Zodiac Netball Club Inc liable for any injury sustained.
I/We give our consent to ambulance transportation or private care transportation if required.
PLAYERS SIGNATURE: ______________________________________________________
_________________
DATE
PARENT/GUARDIAN SIGNATURE: ___________________________________________
DATE__________________
(if player is under 18 years)
PRIVACY STATEMENT
Northeast Zodiac Netball Club Inc abides by the relevant National Privacy Principles of the‘Privacy Act 1988’.
Personal information on this form will only be used for the purpose of
providing club officials and health care professionals with medical details.
It is your responsibility to inform the club of medical details and ensure your information is kept updated.
RECEIPT
NUMBER _____________
$
PLEASE PAY FULL FEES
PLAYER REGISTRATION AND MEDICAL FORMS MUST BE LODGED ON
REGISTRATION NIGHT
-
WEDNESDAY 5 February 2014
- 6.00 PM TO 8.30 PM
AT THE COURTS, ATLANTIS DRIVE, GOLDEN GROVE
PO BOX 780, SALISBURY 5108 BEFORE 05/02/2014
YOU MUST PAY FULL FEES WHEN SUBMITTING THIS FORM
OR YOUR REGISTRATION WILL NOT BE ACCEPTED AND YOU WILL NOT BE GRADED.
OR MAIL FORMS AND FEES (VIA CHEQUE OR CREDIT CARD) TO:
PLAYER’S
PLAYER’S
SURNAME _________________________________________________ FIRST NAME __________________________________________
DATE OF BIRTH
________/________/________
INDIGENOUS/TORRES ST ISL:
YES / NO
ADDRESS _________________________________________________________________________________________________________
POSTCODE ________________ EMAIL ADDRESS (reliable) ____________________________________________________________
HOME TELEPHONE __________________________________
PLAYER’S MOBILE _________________________________________
MOTHER’S SURNAME ____________________________FIRST NAME _________________ MOBILE __________________________
FATHER’S SURNAME _____________________________FIRST NAME_________________ MOBILE __________________________
STEP PARENT / ALTERNATIVE CONTACT PERSON
MOBILE
NOTES: Can’t attend a trial?, school camp dates, family holiday dates, requests, etc PLEASE TELL US NOW!
ARE YOU OR YOUR FAMILY MEMBERS WILLING TO SUPPORT THE CLUB? Please indicate
I WOULD LIKE TO: COACH / TEAM MANAGER / PRIMARY CARER / UMPIRE / COMMITTEE MEMBER
NAME:
PHONE NUMBER:
*PLEASE TICK AGE GROUP AGE AS AT 31/12/14 * YOU MUST TRIAL IN YOUR CORRECT AGE GROUP (Unless Club Approval)*
FEES:
$170
$160
‘A’ GRADE
and SENIORS
16 YEARS & OVER
Born 1997 /98
INTERMEDIATE
17 & 16 YEARS
$160
Born 1999/2000
JUNIORS
15 & 14 YEARS
$155
Born 2001/02
SUB JUNIOR
13 & 12 YEARS
$155
Born 2003/04
PRIMARY
11 & 10 YEARS
Training is NOW
COMPULSORY for All Seniors .
PREFERRED PLAYING POSITIONS:
$155
Born 2005/06/07
SUB PRIMARY
9,8 & 7 YEARS
MUST BE 7 or older
1ST ______________
2ND ______________
PLEASE UNDERSTAND THAT PLAYERS ARE GRADED ON THEIR ABOVE CHOICES.
HOWEVER, IN SOME INSTANCES MAYBE REQUIRED TO PLAY IN OTHER POSITIONS.
HAVE YOU PLAYED FOR ZODIACS BEFORE? SEASON & YEAR: _____________________________
IF NEW TO CLUB
PREVIOUS CLUB:
PREVIOUS EXPERIENCE:
GRADE & TEAM:______
LAST GRADE PLAYED:
Northeast Zodiac Netball Club Inc has in place a Member Protection Policy and
Codes of Conduct that all players, parents/guardians/spectators must abide by.
____________________________________________________
SIGNATURE OF PLAYER
_____________________________________________________________________
SIGNATURE OF PARENT/GUARDIAN IF UNDER 18 YEARS
X PERMISSION TO BE INCLUDED ON THE N E ZODIAC NETBALL CLUB WEBSITE
INCLUDING TEAM PLACEMENTS
:
YES /
NO