NETTA REGISTRATION — SWAN HILL FOOTBALL NETBALL CLUB

NETTA REGISTRATION FORM

Child's Name

First Name

Last Name

Child's Date of Birth

YYYY

Parent/Guardian

First Name

Last Name

Address

Mobile Number

Was your child registered in 2019/2020?

Do you give permission for your child's photo to be taken and used on social media?

Medical Conditions

Please list any medical conditions that we should be aware of. Forward any extra notes such as asthma plans to through to shnetball@hotmail.com.

Do you have ambulance cover?

Do you give permission for an ambulance to be called should one be deemed necessary?

Consent

By ticking this box I understand that participation in the Netta program is at the parent / child’s own risk. SHFNC will not be liable for any injury sustained during participation in this program.