Devizes Netball Club
Devizes Netball Club Membership Form – 2016/2017 season for players aged 19 or over 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:
Medical detail including medication Photographic consent
M:
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) 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 Justina Hams, 29 Sarum Drive, Devizes, SN10 5AT.
All players must pay two sets of fees during the year. 1. AFFILIATION FEES (£33.50) 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 (£33.50) 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 Players I will: Respect the rules, regulations and requirements of the Sport, including, but not limited to, any competitions in which I participate either directly or indirectly Respect the rights, dignity and worth of all people involved in netball, regardless of gender, marital status, race, colour, disability, sexuality, age, occupation, religion or political opinion Recognise that individuals bring different qualities and attributes but ‘together we will excel’. Attend training regularly and be available for matches and arrive on time for training and matches. Wear appropriate clothing and footwear for training (preferably not match kit), and no jewellery and attend matches in recognised club kit. 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 and display modesty in victory and graciousness in defeat; be sporting – whether I win or lose; always acknowledge the other team and the umpires at the end of the game with a hand shake or three cheers. Never argue with an official or participant during a game and listen to and cooperate with officials’ decisions Support 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. Not use mobile phones during training or matches With regard to social media, never post or discuss unfavourable comments about coaches, umpires, players, helpers, volunteers, parents or the club.
I …………………………………………………… 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:
Medical detail including medication Photographic consent
M:
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) 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 Justina Hams, 29 Sarum Drive, Devizes, SN10 5AT.
All players must pay two sets of fees during the year. 1. AFFILIATION FEES (£33.50) 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 (£33.50) 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 Players I will: Respect the rules, regulations and requirements of the Sport, including, but not limited to, any competitions in which I participate either directly or indirectly Respect the rights, dignity and worth of all people involved in netball, regardless of gender, marital status, race, colour, disability, sexuality, age, occupation, religion or political opinion Recognise that individuals bring different qualities and attributes but ‘together we will excel’. Attend training regularly and be available for matches and arrive on time for training and matches. Wear appropriate clothing and footwear for training (preferably not match kit), and no jewellery and attend matches in recognised club kit. 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 and display modesty in victory and graciousness in defeat; be sporting – whether I win or lose; always acknowledge the other team and the umpires at the end of the game with a hand shake or three cheers. Never argue with an official or participant during a game and listen to and cooperate with officials’ decisions Support 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. Not use mobile phones during training or matches With regard to social media, never post or discuss unfavourable comments about coaches, umpires, players, helpers, volunteers, parents or the club.
I …………………………………………………… agree to abide by the Club’s Code of Conduct.
Signed …………………………………………….. Date ……………………………
