Devizes Netball Club AWS
Devizes Netball Club Membership Form – 2013/2014 season for players aged 19 or over on 1st September 2013 England Netball Membership Number (if known) Surname:
Forenames:
Home Address: Phone Numbers: Postcode:
H:
DOB
DDMMYYYY
M: Email: Gender (Please tick)
Male
Female
Emergency Contact Details Surname:
Forenames:
Home Address: Postcode:
Email:
Phone H: Numbers: Medical detail
M:
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:
Please note that the information on this form will be kept by coaches / team managers for use in an emergency.
All players must pay two sets of fees during the year. AFFILIATION FEES (£34.50) are paid once a year, and cover membership of All England Netball, the South West region, Wiltshire County and the Moonraker League. You cannot train or play matches unless you are affiliated. MEMBERSHIP FEES cover the cost of providing 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 two instalments (September and January – cheques made payable to Devizes Netball Club). The following table shows the amounts per team: Teams 1, 2 and 3 Teams 4, 5 and Jax 1
Standing order – 8 x £24 Standing order – 8 x £22
Cheque / cash / online – 2 x £96 Cheque / cash / online – 2 x £88
No player will be affiliated without paying their affiliation fees and arranging for the payment of the first instalment of membership fees. Please complete the information below to detail how you will be paying the membership fees – if by cheque, the first instalment should be included with this form. Details for online payments are as follows: Devizes Netball Club, sort code 20-05-06, account number 50617377.
AFFILIATION FEES: I enclose a cheque / cash for £34.50 for affiliation fees. MEMBERSHIP FEES: I have arranged a standing order, starting on _______________ (date) for £22 / £24 from account number _______________ with the reference ____________________ (preferably the player’s surname) OR I enclose a cheque / have paid online for the first half of the membership fees (£88 / £96). Please return to Trudie Procter, Cobweb Cottage, 43 The Street, All Cannings, Devizes SN10 3PA
Forenames:
Home Address: Phone Numbers: Postcode:
H:
DOB
DDMMYYYY
M: Email: Gender (Please tick)
Male
Female
Emergency Contact Details Surname:
Forenames:
Home Address: Postcode:
Email:
Phone H: Numbers: Medical detail
M:
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:
Please note that the information on this form will be kept by coaches / team managers for use in an emergency.
All players must pay two sets of fees during the year. AFFILIATION FEES (£34.50) are paid once a year, and cover membership of All England Netball, the South West region, Wiltshire County and the Moonraker League. You cannot train or play matches unless you are affiliated. MEMBERSHIP FEES cover the cost of providing 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 two instalments (September and January – cheques made payable to Devizes Netball Club). The following table shows the amounts per team: Teams 1, 2 and 3 Teams 4, 5 and Jax 1
Standing order – 8 x £24 Standing order – 8 x £22
Cheque / cash / online – 2 x £96 Cheque / cash / online – 2 x £88
No player will be affiliated without paying their affiliation fees and arranging for the payment of the first instalment of membership fees. Please complete the information below to detail how you will be paying the membership fees – if by cheque, the first instalment should be included with this form. Details for online payments are as follows: Devizes Netball Club, sort code 20-05-06, account number 50617377.
AFFILIATION FEES: I enclose a cheque / cash for £34.50 for affiliation fees. MEMBERSHIP FEES: I have arranged a standing order, starting on _______________ (date) for £22 / £24 from account number _______________ with the reference ____________________ (preferably the player’s surname) OR I enclose a cheque / have paid online for the first half of the membership fees (£88 / £96). Please return to Trudie Procter, Cobweb Cottage, 43 The Street, All Cannings, Devizes SN10 3PA
