MINDARIE NETBALL CLUB
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Registration
Follow the links below to register .
For Winter please use the My Netball link and for Spring please fill in the the registration form.
My Netball
NetSetGO
JUNIORS
Click through the MY netball link
above to register
for the winter season.
Registration is closed For Bouncers
Bouncer Joondalup
*
Indicates required field
Child Name
*
First
Last
Parent / Guardians
*
Date Of Birth
*
Address
*
Contact Number
*
Email
*
Current School Year
*
School
*
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
Please select 3 positions your child would like to play.
Position 1
*
GK
GD
WD
C
WA
GA
GS
UNKNOWN
Position 2
*
GK
GD
WD
C
WA
GA
GS
UNKNOWN
Position 3
*
GK
GD
WD
C
WA
GA
GS
UNKNOWN
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
Submit
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