Devizes Netball Club
Devizes Netball Club Membership Form – 2014/2015 season for players aged 19 or over on 1st September 2014 England Netball Membership Number (if known) Surname:
Forenames:
Home Address:
Postcode: Email:
Phone:
H:
DOB
DDMMYYYY
M: Transgender
Yes
No
Gender
Male
Female
Emergency Contact Details Surname:
Forenames:
Home Address: Phone:
Postcode: Email: H:
M:
Medical detail including medication Photographic consent
Photos will sometimes be taken for use in the press and on the club’s website. If you DO NOT want your photo used, please complete this section. Please note we cannot prevent third parties from taking photos at matches or other events. I do not give permission for my photograph to be used on the website or in the press: Signed:
Religion (please tick)
Ethnicity (please tick) White – British
Asian / Asian British – Pakistani Asian / Asian British – Bangladeshi Asian / Asian British – other Asian Asian / Asian British – Chinese Black or British – Caribbean
Sexual Orientation (please tick)
Disability (as defined by the Equality Act 2010)
Christian
Heterosexual/Straight
Blind / visually impaired
Buddhist
Gay man
Deaf or hard of hearing
Hindu
Gay woman / Lesbian
Physical impairment
Jewish
Bisexual
Learning disability
Muslim
Other sexuality
Social or behavioural problems
Black or British – African
Sikh
Prefer not to say
Mental health issues
Mixed – other mixed
Black or British – other black
Any other religion
Multiple disabilities
Asian/Asian British – Indian
Prefer not to say
Prefer not to say
Any other impairment
White – Irish White – other white Mixed– white & black Caribbean Mixed – white & black African Mixed – white & Asian
Prefer not to say
Please note that the information on this form will be passed to England Netball and kept by coaches / team managers for use in an emergency. Please return to Trudie Procter, Cobweb Cottage, 43 The Street, All Cannings, Devizes SN10 3PA
All players must pay two sets of fees during the year. AFFILIATION FEES (£35) are paid once a year, and cover membership of All England Netball, Netball South West, Wiltshire and the Moonraker League. You cannot train or play matches unless you are affiliated. MEMBERSHIP FEES pay for training facilities, coaching and equipment. Fees vary according to which team you are in and should be paid either monthly by standing order (October to May) or in one instalment – cheques made payable to Devizes Netball Club/ online: Devizes Netball Club, sort code 20-05-06, account number 50617377.). The following table shows the amounts per team: Teams 1, 2, 3, 5, 6 Teams 4, 7, 8 (all Jax teams)
Standing order – 8 x £25 Standing order – 8 x £16
Cheque / cash / online – 1 x £200 Cheque / cash / online – 1 x £128
AFFILIATION FEES: I enclose a cheque / cash for £35 for affiliation fees. MEMBERSHIP FEES: I have arranged a standing order, starting on _______________ (date) for £25 / £16 with the reference ____________________ (preferably the player’s surname) OR I enclose a cheque / have paid online for the membership fees (£200/ £128).
Devizes Netball Club Code of Conduct for Players Attend training regularly and be available for matches. Be prepared to arrive on time for training and matches. Wear appropriate clothing and footwear for training (preferably not match kit), and no jewellery. Make sure nails are short and hair tied back wherever possible. Show enthusiasm and a positive attitude at training. Play in the right spirit of the game. Listen to advice and respond to instructions. Aspire to the highest standard of play you are capable of. Show respect to all coaches, umpires, members of the club and to the opposition. Give advice to less experienced members of the Club Be prepared to assist with training and umpiring during training sessions. Consider attending Coaching and Umpiring courses to assist in further improving the Club status. Team captains to look after club property and ensure teams are equipped correctly. Attend matches in recognised club kit. Do not use mobile phones during training or matches.
I ……………………………………………………agree to abide by the Club’s Code of Conduct.
Signed …………………………………………….. Date ……………………………
Forenames:
Home Address:
Postcode: Email:
Phone:
H:
DOB
DDMMYYYY
M: Transgender
Yes
No
Gender
Male
Female
Emergency Contact Details Surname:
Forenames:
Home Address: Phone:
Postcode: Email: H:
M:
Medical detail including medication Photographic consent
Photos will sometimes be taken for use in the press and on the club’s website. If you DO NOT want your photo used, please complete this section. Please note we cannot prevent third parties from taking photos at matches or other events. I do not give permission for my photograph to be used on the website or in the press: Signed:
Religion (please tick)
Ethnicity (please tick) White – British
Asian / Asian British – Pakistani Asian / Asian British – Bangladeshi Asian / Asian British – other Asian Asian / Asian British – Chinese Black or British – Caribbean
Sexual Orientation (please tick)
Disability (as defined by the Equality Act 2010)
Christian
Heterosexual/Straight
Blind / visually impaired
Buddhist
Gay man
Deaf or hard of hearing
Hindu
Gay woman / Lesbian
Physical impairment
Jewish
Bisexual
Learning disability
Muslim
Other sexuality
Social or behavioural problems
Black or British – African
Sikh
Prefer not to say
Mental health issues
Mixed – other mixed
Black or British – other black
Any other religion
Multiple disabilities
Asian/Asian British – Indian
Prefer not to say
Prefer not to say
Any other impairment
White – Irish White – other white Mixed– white & black Caribbean Mixed – white & black African Mixed – white & Asian
Prefer not to say
Please note that the information on this form will be passed to England Netball and kept by coaches / team managers for use in an emergency. Please return to Trudie Procter, Cobweb Cottage, 43 The Street, All Cannings, Devizes SN10 3PA
All players must pay two sets of fees during the year. AFFILIATION FEES (£35) are paid once a year, and cover membership of All England Netball, Netball South West, Wiltshire and the Moonraker League. You cannot train or play matches unless you are affiliated. MEMBERSHIP FEES pay for training facilities, coaching and equipment. Fees vary according to which team you are in and should be paid either monthly by standing order (October to May) or in one instalment – cheques made payable to Devizes Netball Club/ online: Devizes Netball Club, sort code 20-05-06, account number 50617377.). The following table shows the amounts per team: Teams 1, 2, 3, 5, 6 Teams 4, 7, 8 (all Jax teams)
Standing order – 8 x £25 Standing order – 8 x £16
Cheque / cash / online – 1 x £200 Cheque / cash / online – 1 x £128
AFFILIATION FEES: I enclose a cheque / cash for £35 for affiliation fees. MEMBERSHIP FEES: I have arranged a standing order, starting on _______________ (date) for £25 / £16 with the reference ____________________ (preferably the player’s surname) OR I enclose a cheque / have paid online for the membership fees (£200/ £128).
Devizes Netball Club Code of Conduct for Players Attend training regularly and be available for matches. Be prepared to arrive on time for training and matches. Wear appropriate clothing and footwear for training (preferably not match kit), and no jewellery. Make sure nails are short and hair tied back wherever possible. Show enthusiasm and a positive attitude at training. Play in the right spirit of the game. Listen to advice and respond to instructions. Aspire to the highest standard of play you are capable of. Show respect to all coaches, umpires, members of the club and to the opposition. Give advice to less experienced members of the Club Be prepared to assist with training and umpiring during training sessions. Consider attending Coaching and Umpiring courses to assist in further improving the Club status. Team captains to look after club property and ensure teams are equipped correctly. Attend matches in recognised club kit. Do not use mobile phones during training or matches.
I ……………………………………………………agree to abide by the Club’s Code of Conduct.
Signed …………………………………………….. Date ……………………………
