2020 INA Junior Nationals 16&Under Ladies [md-form] [md-text label="Your Given Names"][/md-text] [md-text label="Your Last Name"][/md-text] [md-card title="Contacts"] [md-text label="Mobile" desktopwidth="6" tabletwidth="4"][/md-text] [md-text label="Home Phone" desktopwidth="6" tabletwidth="4"][/md-text] [md-text label="Player's Email"][/md-text] [/md-card] [md-card title="Address"] [md-text label="Address"][/md-text] [md-text label="Suburb" desktopwidth="6" tabletwidth="4"][/md-text] [md-text label="Postcode" desktopwidth="6" tabletwidth="4"][/md-text] [md-text label="State" desktopwidth="6" tabletwidth="4"][/md-text] [md-text label="Country" desktopwidth="6" tabletwidth="4"][/md-text] [/md-card] [md-text label="Date of Birth"][/md-text] [group parental-permission] You're under the age of 18 and we need to grab some details from AT LEAST ONE of your parents. [md-grid] [md-text label="Mother's Name" desktopwidth="6" tabletwidth="4"][/md-text] [md-text label="Mother's Mobile" desktopwidth="6" tabletwidth="4"][/md-text] [md-text label="Mother's Email"][/md-text] [md-text label="Father's Name" desktopwidth="6" tabletwidth="4"][/md-text] [md-text label="Father's Mobile" desktopwidth="6" tabletwidth="4"][/md-text] [md-text label="Father's Email"][/md-text] [/md-grid] [md-accept terms="I hereby wish to nominate my son/daughter for the 2020 Junior Nationals. I have read the eligibility criteria and agree that I will ensure that my son/daughter abides by those conditions."] [/md-accept] [/group] [group player-acknowledge] [md-accept terms="I hereby wish to nominate myself for the 2020 Junior Nationals. I have read the eligibility criteria and agree that I will ensure that I abide by those conditions."] [/md-accept] [/group] [group teams] Please list your Preferred Playing Positions in order of Preference [md-select label="First Preference" desktopwidth="4" tabletwidth="2" mobilewidth="2"] (GK) Goal Keeper(GD) Goal Defence(WD) Wing Defence(C) Centre(WA) Wing Attack(GA) Goal Attack(GS) Goal Shooter [/md-select] [md-select label="Second Preference" desktopwidth="4" tabletwidth="2" mobilewidth="2"] (GK) Goal Keeper(GD) Goal Defence(WD) Wing Defence(C) Centre(WA) Wing Attack(GA) Goal Attack(GS) Goal Shooter [/md-select] [md-select label="Third Preference" desktopwidth="4" tabletwidth="2" mobilewidth="2"] (GK) Goal Keeper(GD) Goal Defence(WD) Wing Defence(C) Centre(WA) Wing Attack(GA) Goal Attack(GS) Goal Shooter [/md-select] [/group] [md-card title="Emergency Contact"] [md-text label="Given Name"] [/md-text] [md-text label="Last Name"] [/md-text] [md-text label="Contact Number" desktopwidth="6" tabletwidth="4"] [/md-text] [md-text label="Alternate Number" desktopwidth="6" tabletwidth="4"] [/md-text] [md-text label="Relationship to you"] [/md-text] [/md-card] [md-card title="Health Care Details"] [md-text label="Medicare Number"] [/md-text] [md-text label="Private Health Fund" desktopwidth="6" tabletwidth="4"] [/md-text] [md-text label="Member Number" desktopwidth="6" tabletwidth="4"] [/md-text] [md-radio label="Ambulance Cover?" display="inline"] YesNo [/md-radio] [md-text label="General Practitioner" desktopwidth="6" tabletwidth="4"] [/md-text] [md-text label="Contact Number" desktopwidth="6" tabletwidth="4"] [/md-text] [/md-card] [md-card title="Medical History" subtitle="Do you suffer from any of the following?" titlesize="large"] [md-radio label="Asthma?" display="inline"]YesNo[/md-radio] [md-text label="If yes, what type of inhaler do you use?"][/md-text] [md-radio label="Diabetes?" display="inline"]YesNo[/md-radio] [md-radio label="Migraines/Headaches?" display="inline"]YesNo[/md-radio] [md-radio label="Allergies?" display="inline"]YesNo[/md-radio] [md-textarea label="If Yes - please specify what type of allergies (food, drugs, medication, etc.)"] [/md-textarea] [md-radio label="Are you on any medication?" display="inline"]YesNo[/md-radio] [md-textarea label="If so, please advise"] [/md-textarea] [/md-card] [md-card title="Sporting Injuries"] [md-textarea label="Previous Sporting Injuries?"] [/md-textarea] [md-textarea label="Strapping required before each game?" help="(type and area)"] [/md-textarea] [/md-card] [md-card title="Other Information"] [md-textarea label="Any other relevant medical information?"] [/md-textarea] [/md-card] [md-accept terms="I give my permission for ISNSW to seek appropriate medical attention if I require it." label="Declaration"] [/md-accept] [md-card title="Eligibility Confirmation"] [md-grid] [md-text label="What's your Home Indoor Sports Centre?"] [/md-text] [md-text label="Who is the Netball Representative at that Centre?"] [/md-text] [/md-grid] [/md-card] [md-card title="TERMS & CONDITIONS OF STANDING FOR STATE" titlesize="large"] 1: All current ISNSW Superleague or INPL players must have met qualification requirements before trials. 2: All new players on selection must pay a $270 committment fee to the current or coming ISNSW Superleague or INPL Season. 3: Any current INNSW or INA players who have not competed in this current season's ISU or INPL competition have a 1 year dispensation for the above qualification criteria. 4: All players who state their eligibility for a State team, who are subsequently selected for the State Team and then withdraw from the announced team are subject to penalties as applied by the INNSW State Committee. These penalties are dealt with on a case-by-case scenario but will range from loss of deposit to total suspension from any ISNSW/INNSW event for twelve (12) months. 5. On selection: a) You will be required to pay a non-refundable deposit of $500.00 to INNSW within 2 weeks of the team selection to secure your position in the team. Failure to do so will mean immediate removal from the State team. b) You may be required to attend a compulsory induction day whch will involve the completion of all tournament paperwork as well as completion of uniform orders. c) You will be required to attend ALL training sessions as set down by INNSW. If for some unforeseeable circumstances you are unable to attend, notification must be made with your coach of manager prior to that training session. d) If three or more training sessions are missed, you will be asked to show good reason as to why you should not be removed from the team and face further action from the INNSW Committee (as above). 6. All players who wish to nominate for the 2020 Junior Nationals are to pay a $10 non-refundable nomination fee. a) If not paid, player cannot attend trials. Make Payment Complete payment [md-grid] [md-accept terms="By completing this form, you are (player/parent/guardian) stating that you have read and agree to the terms & conditions above set down by ISNSW/INNSW." label="Declaration"] [/md-accept] [/md-grid] [/md-card] [md-submit] [/md-submit] DO NOT CLICK SUBMIT MORE THAN ONCE! There can be heavy traffic to join the ranks of Indoor Sports NSW! 2020INAJUNIORS16&UNDERGIRLS [/md-form]
