Individual Netball Registration

PLAYER REGISTRATION

* Indicates required field

Full Name *

First

Last

Address *

Line 1

Line 2

City

State

Zip Code

Country

Phone Number *

Email *

Team Name *

Indoor Netball League *

Monday Night - Ladies 6 Aside Wednesday Night - Mixed 6 Aside Thursday Night - Mixed 6 Aside

In Case of Emergency *

Emergency Contacts Number *

Do you have any medical conditions we need to be aware of? *

If yes please provide all details we need to be aware of including any medications: *

Do you have any injuries to Joints or Muscles? *

If yes, please provide details of injuries: *

Informed Consent

I hereby acknowledge that the information provided above regarding my health is to the best of my knowledge correct. I will inform you immediately if there are changes to my health status. *

I Agree

Disclaimer

I acknowledge that participating in physical activity carries a risk and I accept all responsibility for that risk. *

I Agree

I have read and agree to abide by Kumeu Gym's Indoor Netball Rules *

I Agree

I have read and agreed to abide by Kumeu Gym's Code of Conduct *

I Agree

Submit

Indoor Netball Rules

Code of Conduct

PLAYER REGISTRATION

PLAYER REGISTRATION

Members have access 24/7
Our Staffed Hours are:

Telephone

Email

PLAYER REGISTRATION

PLAYER REGISTRATION

Members have access 24/7Our Staffed Hours are:

Telephone

Email

Members have access 24/7
Our Staffed Hours are: