Application to be a Trialling Member

Application to be a Trialling Member of Netball Queensland

Netball Queensland offers participants that are not individual members of Netball Queensland to be a Trialling Member to undertake Netball Queensland-sanctioned netball activities in certain situations.

As per Netball Queensland's Membership By-Law, Trialling Members will be covered for Personal Accident Insurance under the Netball Australia Personal Accident Policy, for the duration of the Netball Queensland-sanctioned event they are participating in, provided details have been captured, as a minimum:-

* participant’s full name,

* date of birth,

* address,

* email / phone number

* venue / location,

* date of event, and

* details of the organisation with the Netball Queensland Community organising the Netball Activity.

As part of becoming a Trialling Member, individuals will also need to agree to be bound by and comply with Netball Queensland's policies.

Any questions regarding Trialling Members can be directed to community@netballq.org.au.

Is Netball Queensland the Event Organiser of the Netball Activity the trialling member is participating in?*

Yes No

Selecting 'Yes' means that the event is being run by Netball Queensland directly, not a Club or Association in Netball Queensland's Community.

Applicant Details

Name of the person applying to become a Trialling Member*

First Name

Middle Name (optional)

Last Name

Trialling Member's Date of Birth*

Trialling Member's Address*

Address Line 1

City

State

Postcode

Contact Email Address*

Contact Telephone Number*

Name of the Parent / Legal Guardian of the person applying to become a Trialling Member*

First Name

Last Name

Does the Parent / Legal Guardian named above reside at the same address as the Trialling Member?*

Yes No

Nomination of ICE (In Case of Emergency) Contact - Name*

First Name

Last Name

Nomination of ICE (In Case of Emergency) Contact - Telephone Number*

Parent / Legal Guardian's Address*

Address Line 1

City

State

Postcode

Does the Parent / Legal Guardian named above have the same email address as the Trialling Member?*

Yes No

Parent / Legal Guardian's Email Address*

Does the Parent / Legal Guardian named above have the same telephone number as the Trialling Member?*

Yes No

Parent / Legal Guardian's Telephone Number*

Signing for and on behalf of the child named as the 'Trialling Member'*

As the Trialling Member is under the age of 18, I, as the Parent / Legal Guardian named above will complete the 'Application Conditions'

Details of the Netball Activity - Netball Queensland

What is the title of the Netball Activity the Trialling Member is participating in?*

Which is the Netball Queensland Event Organiser of the Netball Activity?*

What is the venue of the Netball Activity?*

What date is this Netball Activity taking place?*

Details of the Netball Activity - Netball Queensland Community

What is the title of the Netball Activity the Trialling Member is participating in?*

What is the first letter of the Association / Club in Netball Queensland's Community Organising the Netball Activity?*

A - E F - J K - O P - T U - Z

Which Association / Club in Netball Queensland's Community is the Event Organiser of the Netball Activity (A - E)?*

This is not an intuitive drop down list, select the first letter of the Event Organiser and continue selecting that letter until you see the name of the Event Organiser OR use the scale on the right hand side to progress through the list.

Which Association / Club in Netball Queensland's Community is the Event Organiser of the Netball Activity (F - J)?*

Which Association / Club in Netball Queensland's Community is the Event Organiser of the Netball Activity (K - O)?*

Which Association / Club in Netball Queensland's Community is the Event Organiser of the Netball Activity (P - T)?*

Which Association / Club in Netball Queensland's Community is the Event Organiser of the Netball Activity (U - Z)?*

What is the venue of the Netball Activity?*

Please provide the name of venue and suburb where the venue is located.

What date is this Netball Activity taking place?*

The participant's Trialling Membership of Netball Queensland will be valid for fifteen (15) consecutive days, including and after the date stated above, for Netball Activities being undertaken with the SAME Event Organiser.

Application Conditions

As a condition of being a Trialling Member of Netball Queensland, I will abide by Netball Queensland's policies.*

Yes

Netball Queensland's current policies are available for viewing at https://qld.netball.com.au/policies. If the Trialling Member is under the age of 18 on the date of the Netball Activity, then a parent or legal guardian is required to agree to the above section on behalf of their child.

I consent to receiving information about future Netball Activities from the Netball Activity's Event Organiser, as well as Netball Queensland and the Association, if the Event Organiser is a Club.*

Yes No

If the Trialling Member is under the age of 18 on the date of the Netball Activity, then a parent or legal guardian is required to complete the above section on behalf of their child.

I consent to the details I have provided (or my child's, as the parent / legal guardian, if the applicant is under 18) to be provided to the Netball Activity's Event Organiser selected in this submission, as well as Netball Queensland and the Association, if the Event Organiser is a Club.*

Yes

If the Applicant Trialling Member is under the age of 18 on the date of the Netball Activity, then a parent or legal guardian is required to agree to the above section on behalf of their child.

I acknowledge and accept that I (either acting on my own behalf or on behalf of the child (under the age of 18) named in this application in my role of parent / legal guardian) need to provide a copy of the completed submission (one will be automatically generated and sent to the nominated email address supplied as part of the application) to an authorised representative of the Event Organiser PRIOR to the commencement of any Netball Activities that this application relates to.*

Yes

If the Applicant Trialling Member is under the age of 18 on the date of the Netball Activity, then a parent or legal guardian is required to agree to the above section on behalf of their child. Where a Club is the Event Organiser, the Association they are an affiliate of will appear in brackets next to their name.

By signing below, I declare that the information I have provided is true and correct at the time of submission. *

[clear]

If the Trialling Member is under the age of 18 on the date of the Netball Activity, this application must be signed by a parent / legal guardian of the Trialling Member.

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