Registration

A player can play up one age group without club authorisation. If a player would like to play up two age groups please send a email to Beck at
beck.mindarienetball@gmail.com for club approval.

Teams *

Option 1 Option 2 Option 3

Declaration
If under 18 years of age a parent / guardian must sign:
I agree that the registered player on this form and the attending parent/guardian/spectator will abide by the rules and regulation of the Mindarie Netball Club and Bouncers Sport Centre.
I give permission for the registered player on this form to represent the Mindarie Netball Club.

Parent/ Guardian *

Signature *

Medical Conditions

Does your child suffer from any Medical Condition? *

Yes No

If Yes *

Does your child take any regular medication ? *

Yes No

If Yes *

Payment
Your payment will be processed in 3-5 business days

Payment Method *

Visa Master Card

Name On Card *

Card Number *

Expiration Date *

CCV *

Payment Amount *

$220 $160 Winter Refund Kids Sport Voucher

Registration

My Netball

Registration is closed For Bouncers

Bouncer Joondalup

Club

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