FORMS AND FEES CAN BE MAILED TO: PO BOX 780, SALISBURY 5108 before 04/02/2015
GRADE
Sub Primary
Primary
Sub Junior
Junior
Intermediate
‘A’ Grade / Senior
AGE GROUP
AS AT 31/12/15
Born 2006/07/08
7 , 8 & 9 years
Born 2004/05
10 & 11 years
Born 2002/03
12 & 13 years
Born 2000/01
14 & 15 years
Born 1998/99
16 & 17 years
16 yrs and over
WINTER
2014 FEES
$165
$165
$165
$170
$170
$180
GAMES WILL BE
PLAYED
Saturday
Saturday
Tuesday
6.50 pm
Tuesday
8.10 pm
Monday night
7.00 pm
Monday night
7.00 pm or 8.30 pm
GRADE
Sub Primary
Primary
Sub Junior
Junior
DATES
Wednesday 18 February
TIMES
Wednesday 18 February
Wednesday 25 February
Wednesday 18 February
Wednesday 25 February
Wednesday 18 February
Wednesday 25 February
6 pm - 7.30 pm
6 pm – 8.30 pm
6 pm – 8.30 pm
5.30 pm – 8.00 pm
5.30 pm – 8.00 pm
5.30 pm – 8.00 pm
5.30 pm – 8.00 pm
COURT NO.
14 & 15
16 & 17
18 & 19
12 & 13
Intermediate Wednesday 18 February
Wednesday 25 February
7.30 pm – 9 pm
7.30 pm – 9 pm
20
‘A’ Grade /
Senior
Wednesday 18 February
Wednesday 25 February
7.00 pm – 9 pm
7.00 pm – 9 pm
15

1. All Registration and Medical Information Forms must be lodged on or
2.
3.
4.
5.
6.
7.
8.
9.
10. before 4 February 2015 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
11.
12.
13. 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.
14.
15.
16.
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 2015 SEASON DATES
The first night of training is on 15 th April 2015.
The first round of games starts Monday 27 April, Tuesday 28 April and Saturday 2 May 2015.
Sub Primary season ends with a carnival on Saturday 22 August 2015.
Finals start Saturday 15 August, Monday 17 August and Tuesday 18 August 2015.
Grand Finals will be played on Monday 31 August, Tuesday 1 September and Saturday 5 September 2015.
No Games – 6, 7 & 8 June and 12, 13 & 14 July 2015.
TEAM/SQUAD PLACEMENT
Player selections will be advised by Team Placement List - www.northeastzodiacs.net
on Monday 13 th April 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 and Recording Secretary Jacinta Nelson on 8289 6210 or 0423 365 447.
On advice of this, your place will be offered to another player and a selection trial fee of $80 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
Sub Junior
Juniors, Intermediate and Seniors
DISCOUNTS:
6.00 pm to 7.15 pm
6-7.15 pm
6-7.15 pm or or
7.15-8.30 pm
7.15-8.45 pm
** Times may vary according to court space
and availability **
$25 Life Member discount.
$30 deduction on fees is offered to families for 3 rd and subsequent players .
CLUB COACH:
REGISTRATION ENQUIRIES:
CLUB TREASURER:
Fraser Millsteed – phone 8288 8028 or 0432 878040 (Court 15 Wed nights)
RING FRASER NOW IF YOU ARE WILLING TO COACH A TEAM
Recording Secretary Jacinta Nelson Phone 8289 6210
Jackie Forshaw Phone 8250 2398

PLAYER REGISTRATION AND MEDICAL FORMS MUST BE LODGED AT
THE COURTS, ATLANTIS DRIVE, GOLDEN GROVE
WEDNESDAY - 4 FEBRUARY 2015 - 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
4 th FEBRUARY
Late registrations may be placed on the waiting list and unable to attend trials.
If you cannot attend the clubrooms on 4 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 5 February)
Or ask for assistance from a committee member or friend before this date.
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PAYMENT OF: WINTER 2015 FEES AMOUNT: $
___________
PLAYERS NAME:
_________________________
PAY BY CREDIT CARD NUMBER:
_ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _
MASTERCARD / VISA / BANKCARD OR OTHER:
_______
EXPIRY
_ _ / _ _
NAME ON CARD (PLEASE PRINT ):
_____________________________
SIGNATURE:
_________________________
DATE:
________
ALL CHEQUES PAYABLE TO: NORTHEAST ZODIAC NETBALL CLUB INC. MAIL TO: PO BOX 780, SALISBURY 5108

RECEIPT
NUMBER _____________
$
PLEASE PAY FULL FEES
PLAYER REGISTRATION AND MEDICAL FORMS MUST BE LODGED ON
REGISTRATION NIGHT - WEDNESDAY 4 February 2015 - 6.00 PM TO 8.30 PM
AT THE COURTS, ATLANTIS DRIVE, GOLDEN GROVE
OR MAIL FORMS AND FEES (VIA CHEQUE OR CREDIT CARD) TO: PO BOX 780, SALISBURY 5108 BEFORE 04/02/2015
YOU MUST PAY FULL FEES WHEN SUBMITTING THIS FORM
OR YOUR REGISTRATION WILL NOT BE ACCEPTED AND YOU WILL NOT BE GRADED
ALL SECTIONS BELOW MUST BE COMPLETED
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 SUR NAME ____________________________FIRST NAME _________________ MOBILE __________________________
FATHER’S SURNAME _____________________________FIRST NAME_________________ MOBILE __________________________
NEXT OF KIN_________________________________________ 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 31/12/15 * YOU MUST TRIAL IN YOUR CORRECT AGE GROUP (Unless Club Approval)*
FEES: $180
‘A’ GRADE and SENIORS
16 YEARS & OVER
$170
Born 1998/99
INTERMEDIATE
17 & 16 YEARS
$170
Born 2000/01
JUNIORS
15 & 14 YEARS
$165
Born 2002/03
SUB JUNIOR
13 & 12 YEARS
$165
Born 2004/05
PRIMARY
11 & 10 YEARS
$165
Born 2006/07/08
SUB PRIMARY
9,8 & 7 YEARS
MUST BE 7 or older
Training is NOW
COMPULSORY for All Seniors .
PREFERRED PLAYING POSITIONS: 1 ST ______________ 2 ND ______________
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: _____________________________ GRADE & TEAM:______
IF NEW TO CLUB PREVIOUS CLUB:
PREVIOUS EXPERIENCE: LAST GRADE PLAYED :
____________________________________________________ _____________________________________________________________________
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

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: ___________________________________________
(if player is under 18 years)
DATE__________________
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 .