Netball Alberta
Box 270, 7620 Elbow Drive SW, Calgary, Alberta T2V 1K2
Phone: (403) 238-8041
E-mail: contact@netballalberta.com
www.netballalberta.com
FULL NAME :
HOME PHONE :
E-MAIL :
HOME ADDRESS
CITY/POSTAL CODE
CELL PHONE :
NAME of SCHOOL/COLLEGE/UNIVERSITY IF APPLICABLE :
DATE OF BIRTH : (M/D/Y)
AGE ON 1/1/2009 :
SEX :
STATUS: CANADIAN CITIZEN/LANDED IMMIGRANT/WORK PERMIT/VISITOR :
CAN YOU OR YOUR PARENTS VOLUNTEER TO ASSIST NETBALL ALBERTA?
ALBERTA HEALTH CARE NUMBER
FAMILY DOCTOR
DOCTOR’S TELEPHONE
EMERGENCY CONTACT PERSON
RELATIONSHIP
HOME TELEPHONE
WORK TELEPHONE
CELL PHONE
OCCUPATION (IF A STUDENT – PARENTS OCCUPATION)
RELEVANT MEDICAL INFORMATION, ATTACH A SEPARATE SHEET IF NECESSARY (I.E. ALLERGIES, MEDICATIONS, INJURIES, PREVIOUS HEAD INJURIES, CONCUSSIONS, GLASSES)
HAVE YOU PLAYED NETBALL BEFORE?
IF YES, RANK TOP 3 POSITIONS
ARE YOU INTERESTED IN BEING A PROVINCIAL PLAYER? NB. PROVINCIAL PLAYERS MUST TRAIN WEEKLY
HIGHEST UMPIRING QUALIFICATION & YEAR RECEIVED
HIGHEST COACHING QUALIFICATION & YEAR RECEIEVED
DO YOU HAVE TEAM MATE PREFERENCES FOR TRANSPORTATION REASONS ?
Disclosure :
I certify that I have made a full and complete disclosure concerning any and all conditions, allergies, medications, and previous head and other injury information that might affect my ability to play netball.
PARENTS’ NAMES (IF PLAYER IS UNDER 18)
DATE (D/M/Y)
ONLINE REGISTRATION - FALL 2009
Deadline: 
Early Bird - July 31, Full Registration - September 3
Early Bird - July 31, Full Registration - September 3 Season runs from September to December and January to MarchPARENTS E-MAIL (IF U/21):
*** Not sure what category you should register under? Click here for more details
*** Do you want to register as a non-playing member? Email registration
HOW DID YOU HEAR ABOUT NETBALL ALBERTA?
