Devizes Netball Club
Devizes Netball Club Membership Form 2013/2014 for players aged between 12 and 14 on 1/9/13 in the junior club England Netball Membership Number (if known) Surname:
Forenames:
Home Address: Phone Numbers: Postcode:
H:
M: Email:
Date of DDMMYYYY Birth Parent or Guardian’s Details
Gender (Please tick)
Surname:
Forenames:
Male
Female
Home Address: Postcode:
Email:
Phone H: Numbers: Medical detail including medication
M:
Photographic consent
Photos will sometimes be taken for use in the press and on the club’s website. If you do not want your daughter’s 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 daughter’s photograph to be used on the website or in the press:
Signed:
Parent’s signature
I give my permission for my daughter to be a member of Devizes Netball Club and to be affiliated to the All England Netball Association.
Signed:
Please note that the information on this form will be kept by coaches / team managers for use in an emergency. Please could you complete this form and return to Trudie Procter together with the membership fee – which for the 2013/14 season is £13. For more information, please see our website – www.devizesnetball.org.uk. General information about the club as well as club news will be posted on the website, so please do use it to keep in touch! Trudie’s address is: Cobweb Cottage, 43 The Street, All Cannings, Devizes SN10 3PA.
Forenames:
Home Address: Phone Numbers: Postcode:
H:
M: Email:
Date of DDMMYYYY Birth Parent or Guardian’s Details
Gender (Please tick)
Surname:
Forenames:
Male
Female
Home Address: Postcode:
Email:
Phone H: Numbers: Medical detail including medication
M:
Photographic consent
Photos will sometimes be taken for use in the press and on the club’s website. If you do not want your daughter’s 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 daughter’s photograph to be used on the website or in the press:
Signed:
Parent’s signature
I give my permission for my daughter to be a member of Devizes Netball Club and to be affiliated to the All England Netball Association.
Signed:
Please note that the information on this form will be kept by coaches / team managers for use in an emergency. Please could you complete this form and return to Trudie Procter together with the membership fee – which for the 2013/14 season is £13. For more information, please see our website – www.devizesnetball.org.uk. General information about the club as well as club news will be posted on the website, so please do use it to keep in touch! Trudie’s address is: Cobweb Cottage, 43 The Street, All Cannings, Devizes SN10 3PA.
