C:\Users\ekingston\Desktop\NNSW Blank Template.docx



Team Nominations for the 2020 BING LEE Regional League competition will need to be submitted in MyNetball prior to the completion of this registration form (instructions available on the Regional League page on the Netball NSW website). ASSOCIATION DETAILSContact for all Regional League CorrespondenceOn Site Association Liaison Officer*Association: FORMTEXT ?????Name: FORMTEXT ?????Name: FORMTEXT ?????Email: FORMTEXT ????? Email: FORMTEXT ????? Phone: FORMTEXT ?????Phone: FORMTEXT ?????* The On Site Association Liaison Officer must be available over the duration of the competition. They must be aware that they will be the point of contact should Netball NSW wish to discuss any matters relating to the above nominated Association. TEAM NOMINATION AND TEAM OFFICIALSPlease complete details of teams entered into MyNetball and the Team Officials allocated to each team below.REGIONAL LEAGUE - RIVERINADIVISIONTEAM ENTEREDMAX. AGE IN TEAMRound 1: Sun, 16 February 2020 (Young)Round 2/Finals : Sun, 15 March 2020 (Wagga Wagga)One (1) FORMCHECKBOX FORMTEXT ?????Two (2) FORMCHECKBOX FORMTEXT ?????Three (3) FORMCHECKBOX FORMTEXT ?????* As a guide only and from previous years, Division 1 has been Opens/17s and Division 2 has been 17s/15s, where team numbers allow.DIVISION 1Total No. of players entered: FORMTEXT ?????Team Nomination Grading report attached: FORMCHECKBOX Team OfficialNameMyNetball IDAccreditation (where applicable)2020 Financial MemberCoach FORMTEXT ????? FORMTEXT ????? FORMTEXT ????? FORMCHECKBOX Assistant Coach FORMTEXT ????? FORMTEXT ????? FORMTEXT ????? FORMCHECKBOX Manager FORMTEXT ????? FORMTEXT ????? FORMTEXT ????? FORMCHECKBOX Primary Care FORMTEXT ????? FORMTEXT ????? FORMTEXT ????? FORMCHECKBOX DIVISION 2Total No. of players entered: FORMTEXT ?????Team Nomination Grading report attached: FORMCHECKBOX Team OfficialNameMyNetball IDAccreditation (where applicable)2020 Financial MemberCoach FORMTEXT ????? FORMTEXT ????? FORMTEXT ????? FORMCHECKBOX Assistant Coach FORMTEXT ????? FORMTEXT ????? FORMTEXT ????? FORMCHECKBOX Manager FORMTEXT ????? FORMTEXT ????? FORMTEXT ????? FORMCHECKBOX Primary Care FORMTEXT ????? FORMTEXT ????? FORMTEXT ????? FORMCHECKBOX DIVISION 3Total No. of players entered: FORMTEXT ?????Team Nomination Grading report attached: FORMCHECKBOX Team OfficialNameMyNetball IDAccreditation (where applicable)2020 Financial MemberCoach FORMTEXT ????? FORMTEXT ????? FORMTEXT ????? FORMCHECKBOX Assistant Coach FORMTEXT ????? FORMTEXT ????? FORMTEXT ????? FORMCHECKBOX Manager FORMTEXT ????? FORMTEXT ????? FORMTEXT ????? FORMCHECKBOX Primary Care FORMTEXT ????? FORMTEXT ????? FORMTEXT ????? FORMCHECKBOX FORMCHECKBOX Tick Here to agree that the above mentioned Netball Association certifies that the information provided in relation to all players’ registration details have been checked with both the player and other relevant Netball NSW documentation. FORMCHECKBOX Tick Here to certify that all players and officials are current financial members (registered in 2020) of Netball NSW, or their relevant State or Territory, and that the Netball Association has current financial affiliation with Netball NSW, or other relevant State or Territory. DO NOT SUBMIT THIS FORM UNLESS ALL MYNETBALL IDs HAVE BEEN CHECKED - ENTRIES WILL NOT BE PROCESSED IF PLAYERS ARE NOT REGISTERED.WORKING WITH CHILDREN CHECK DECLARATION FORMCHECKBOX Tick Here to confirm the above mentioned Netball Association has verified the WWCC numbers for all coaches, managers and any other supporting members (where a WWCC is required) involved with teams being entered into this competition.? FINALS SERIES ELIGIBILITY – ASSOCIATION DECLARATION FORMCHECKBOX Tick Here to confirm the above mentioned Netball Association understands the ruling for players needing to have played in two (2) matches with the relevant Team, to qualify for Finals Series in single round (i.e. each Team plays each other once) Competitions. Note: this will increase to 3 matches for a double round competition. Refer to section 6.5.1 and 6.5.2 of the Rules.PHOTOGRAPHY OPT-OUTSome Associations will have children/individuals participating in the competition who are unable to be photographed by our “photography partners” or Netball NSW Staff for legal reasons. To ensure we are able protect these children/individuals we request that each Association ask those involved to identify themselves. If your Association has children/individuals who are not to be photographed, please indicate the team in which they will participate in the table below.Team/DivisionDo Not Photograph (please check box next to relevant team/s)Division One FORMCHECKBOX Division Two FORMCHECKBOX Division Three FORMCHECKBOX If you wish to advise of teams that are not to be photographed after the close of entries, please notify Netball NSW by Friday, 14 February 2020. Notification can be emailed to nsevula@ or mhoward@. UMPIRE AGREEMENT FORMCHECKBOX Tick Here to agree that the above mentioned Netball Association will provide one non-playing badged umpire per team entered, plus an additional non-playing badged umpire for the duration of the 2020 Regional League competition. Umpires from the Association must be submitted on the Umpire Nomination Form by COB, Tuesday 5 February PETITION COSTS FORMCHECKBOX Tick Here to agree that the above mentioned Netball Association acknowledges that the team entry fee is $195.51 + GST (per team), and that the venue costs for Rounds 1 & 2 will be covered by participating Associations – as per the fees set by Netball NSW each year. Venue costs associated with Finals Series games are covered by Netball NSW.REGIONAL LEAGUE DECLARATIONBy signing below the Association Official is certifying that the information provided on behalf of their Association in Sections 1-7 of this form are true and correct. Should any of the above not be adhered to, relevant penalties will apply. Association Official Signature: FORMTEXT ????? Position: FORMTEXT ?????*** Please note: This form can be filled out electronically and saved as a Word Document. The signature of the Association Official will be accepted as an electronic signature in accordance with legal principles (typing is sufficient) ***SUBMISSION DATESThis form should be completed after team nominations have been submitted on MyNetball and returned with the Team Nomination Report via email by 5:00 pm, Tuesday 28 January 2020 to the Regional Development Manager – South, Nikita Sevula via nsevula@. Note: Late Entries may incur a Late Entry Fee.For all other dates, including Umpire please consult the 2020 BING LEE Regional League webpage.**LATE REGISTRATIONS/DEREGISTRATIONS must be submitted on the LATE REGISTRATION AND DE-REGISTRATION FORM**Office Use OnlyApplication Received: EmailDate Received: _______________________________________________Acknowledgement Sent: EmailDate Sent: ___________________________________________________ ................
................

In order to avoid copyright disputes, this page is only a partial summary.

Google Online Preview   Download