Devizes Netball Club (Senior Club)
Devizes Netball Club (Senior Club) Membership Form 2016/2017 season for players in senior club aged 15, 16, 17 or 18 on 1st September 2016 England Netball Membership Number (if known) Surname:
Forenames:
Home Address:
Postcode: Email:
Phone:
H:
M:
DOB
DDMMYYYY
Transgender
Yes
No
Gender
Male
Female
Emergency Contact Details Surname:
Forenames:
Home Address: Phone:
Postcode: Email: H:
M:
Medical detail including medication Parental and photographic consent
I give permission for my daughter to be a member of Devizes Netball Club Signed:
Photos will sometimes be taken for use in the press and on the club’s website. If you DO NOT want your child’s photo to be used, please sign below. 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) Asian / Asian British – Bangladeshi Asian / Asian British – Pakistani Asian / Asian British – Chinese Mixed– white & black Caribbean Mixed – white & black African Asian / Asian British – other Asian Black or British – other black Asian/Asian British – Indian
Sexual Orientation (please tick)
Disability (as defined by the Equality Act 2010)
White – Irish
Christian
Heterosexual/Straight
Blind / visually impaired
White – other white
Buddhist
Gay man
Deaf or hard of hearing
Black or British – Caribbean
Hindu
Gay woman / Lesbian
Physical impairment
Mixed – white & Asian
Jewish
Bisexual
Learning disability
White – British
Muslim
Other sexuality
Black or British – African
Sikh
Prefer not to say
Mixed – other mixed
Any other religion
Mental health issues Social or behavioural problems Multiple disabilities
Prefer not to say
Prefer not to say
Any other impairment 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 Justina Hams, 29 Sarum Drive, Devizes, SN10 5AT All players must pay two sets of fees during the year. 1. AFFILIATION FEES (£21.30) are paid once a year, and cover membership of England Netball, Netball South West, Wiltshire and the Moonraker League. You cannot train or play matches unless you are affiliated. These fees should be paid in full by 30th September 2016. 2. MEMBERSHIP FEES pay for training facilities, coaching and equipment and should be paid in one payment or three instalments (1st September, 1st January and 1st March) unless otherwise agreed with the treasurer. Cheques made payable to Devizes Netball Club. Online: Devizes Netball Club, sort code 20-05-06, account number 50617377. Please note, the club operates a strict no pay, no play policy. The following table shows the amounts per team: Regional and Harriers Eagles and Falcons Hawks and Ospreys
One instalment 1 x £220 1 x £150 1 x £130
Three instalments £73.33 – 1st September, 1st January, 1st March £50 – 1st September, 1st January, 1st March £43.33 – 1st September, 1st January, 1st March
AFFILIATION FEES: I enclose a cheque / cash / will pay online for affiliation fees (£21.30) MEMBERSHIP FEES: I enclose ______ (cash or cheque) or will pay __________ online (please use member’s surname as the reference) or have set up a standing order for three payments of £_____. Please return with a signed Code of Conduct (overleaf)
Devizes Netball Club - Code of Conduct for Young Players I will: Attend training regularly and be available for matches and arrive on time for training and matches. Wear appropriate clothing and footwear, but 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. Behave during training, and understand the club’s disciplinary “Warning System” Understand that if I do not attend for 3 sessions without informing the club in advance that I will be asked to leave the club and my place given to someone else. Do not use mobile phones during training or matches to send or receive text messages, calls, email, Apps or to surf the net. Not use Social Media technology to bring the game into disrepute or make an inappropriate comment about any athlete, coach, official, volunteer or member of England Netball staff
I (player) ………………………………………………………………………agree to abide by the Club’s Code of Conduct. Signed ……………………………………………………………………………………………………….. Date ……………………………
Devizes Netball Club - Code of Conduct for Parents/Guardians I / we will: Encourage my/our child to learn the rules and play within them and respect officials’ and coaches decisions. Support my/our child’s efforts and performance, giving positive and encouraging comments Discourage unfair play. Set a good example by recognising fair play and applauding the good performance of all. Publicly accept coaches’ and officials’ judgments. Understand that competition is about winning and losing so results are accepted without undue disappointment Never punish or belittle a child for losing or making mistakes. Never pressurise my/our child in any way; I know that this is their sport, not mine/ours. Not use Social Media technology to bring the game into disrepute or make an inappropriate comment about any athlete, coach, official, volunteer or member of England Netball staff Use correct and proper language at all times. Respect the rights, dignity and worth of all people involved in the game, regardless of gender, marital status, race, colour, disability, sexuality, age, occupation, religion or political opinion Be aware of the club’s safeguarding policy and ensure that any concerns are reported to the club’s safeguarding officer or England Netball’s Lead Safeguarding Officer. Encourage my/our child to behave during training and listen to her coaches and accept the club’s disciplinary system Understand that if my/our child does not attend for three sessions without informing the club we will assume they have left the club and her place will be given to someone else. I (parent/guardian) ……………………………………………………agree to abide by the Club’s Code of Conduct. Signed ……………………………………………………………………………………………………….. Date ……………………………
Forenames:
Home Address:
Postcode: Email:
Phone:
H:
M:
DOB
DDMMYYYY
Transgender
Yes
No
Gender
Male
Female
Emergency Contact Details Surname:
Forenames:
Home Address: Phone:
Postcode: Email: H:
M:
Medical detail including medication Parental and photographic consent
I give permission for my daughter to be a member of Devizes Netball Club Signed:
Photos will sometimes be taken for use in the press and on the club’s website. If you DO NOT want your child’s photo to be used, please sign below. 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) Asian / Asian British – Bangladeshi Asian / Asian British – Pakistani Asian / Asian British – Chinese Mixed– white & black Caribbean Mixed – white & black African Asian / Asian British – other Asian Black or British – other black Asian/Asian British – Indian
Sexual Orientation (please tick)
Disability (as defined by the Equality Act 2010)
White – Irish
Christian
Heterosexual/Straight
Blind / visually impaired
White – other white
Buddhist
Gay man
Deaf or hard of hearing
Black or British – Caribbean
Hindu
Gay woman / Lesbian
Physical impairment
Mixed – white & Asian
Jewish
Bisexual
Learning disability
White – British
Muslim
Other sexuality
Black or British – African
Sikh
Prefer not to say
Mixed – other mixed
Any other religion
Mental health issues Social or behavioural problems Multiple disabilities
Prefer not to say
Prefer not to say
Any other impairment 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 Justina Hams, 29 Sarum Drive, Devizes, SN10 5AT All players must pay two sets of fees during the year. 1. AFFILIATION FEES (£21.30) are paid once a year, and cover membership of England Netball, Netball South West, Wiltshire and the Moonraker League. You cannot train or play matches unless you are affiliated. These fees should be paid in full by 30th September 2016. 2. MEMBERSHIP FEES pay for training facilities, coaching and equipment and should be paid in one payment or three instalments (1st September, 1st January and 1st March) unless otherwise agreed with the treasurer. Cheques made payable to Devizes Netball Club. Online: Devizes Netball Club, sort code 20-05-06, account number 50617377. Please note, the club operates a strict no pay, no play policy. The following table shows the amounts per team: Regional and Harriers Eagles and Falcons Hawks and Ospreys
One instalment 1 x £220 1 x £150 1 x £130
Three instalments £73.33 – 1st September, 1st January, 1st March £50 – 1st September, 1st January, 1st March £43.33 – 1st September, 1st January, 1st March
AFFILIATION FEES: I enclose a cheque / cash / will pay online for affiliation fees (£21.30) MEMBERSHIP FEES: I enclose ______ (cash or cheque) or will pay __________ online (please use member’s surname as the reference) or have set up a standing order for three payments of £_____. Please return with a signed Code of Conduct (overleaf)
Devizes Netball Club - Code of Conduct for Young Players I will: Attend training regularly and be available for matches and arrive on time for training and matches. Wear appropriate clothing and footwear, but 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. Behave during training, and understand the club’s disciplinary “Warning System” Understand that if I do not attend for 3 sessions without informing the club in advance that I will be asked to leave the club and my place given to someone else. Do not use mobile phones during training or matches to send or receive text messages, calls, email, Apps or to surf the net. Not use Social Media technology to bring the game into disrepute or make an inappropriate comment about any athlete, coach, official, volunteer or member of England Netball staff
I (player) ………………………………………………………………………agree to abide by the Club’s Code of Conduct. Signed ……………………………………………………………………………………………………….. Date ……………………………
Devizes Netball Club - Code of Conduct for Parents/Guardians I / we will: Encourage my/our child to learn the rules and play within them and respect officials’ and coaches decisions. Support my/our child’s efforts and performance, giving positive and encouraging comments Discourage unfair play. Set a good example by recognising fair play and applauding the good performance of all. Publicly accept coaches’ and officials’ judgments. Understand that competition is about winning and losing so results are accepted without undue disappointment Never punish or belittle a child for losing or making mistakes. Never pressurise my/our child in any way; I know that this is their sport, not mine/ours. Not use Social Media technology to bring the game into disrepute or make an inappropriate comment about any athlete, coach, official, volunteer or member of England Netball staff Use correct and proper language at all times. Respect the rights, dignity and worth of all people involved in the game, regardless of gender, marital status, race, colour, disability, sexuality, age, occupation, religion or political opinion Be aware of the club’s safeguarding policy and ensure that any concerns are reported to the club’s safeguarding officer or England Netball’s Lead Safeguarding Officer. Encourage my/our child to behave during training and listen to her coaches and accept the club’s disciplinary system Understand that if my/our child does not attend for three sessions without informing the club we will assume they have left the club and her place will be given to someone else. I (parent/guardian) ……………………………………………………agree to abide by the Club’s Code of Conduct. Signed ……………………………………………………………………………………………………….. Date ……………………………
