SITZLER INDIGENOUS CARNIVAL PLAYER REGO

2022 SITZLER INDIGENOUS NETBALL CARNIVAL PLAYER REGISTRATION FORM

*By registering to participate in the Sitzler Indigenous Carnival, you are consenting to Netball Northern Territory utilising any images taken throughout the carnival.

To register your team for the Indigenous Netball Carnival please complete this form and return to Netball NT. You may need to copy this form if you are registering more than one team. For more information, please contact Netball NT via email at development@netballnt.org.au

Team Name

Team Category

Uniform Colours

Team Coordinator

Full Name

Contact Email

Mobile Number

Home Number

Team Management

Team Manager Full Name

Coach Full Name

Player 1

Full Name

D.O.B (DD/MM/YYYY)

Do you have a disability? (Y/N)

Are you of Aboriginal or Torres Strait Islander? (Y/N)

Player 2

Full Name

D.O.B (DD/MM/YYYY)

Do you have a disability? (Y/N)

Are you of Aboriginal or Torres Strait Islander? (Y/N)

Player 3

Full Name

D.O.B (DD/MM/YYYY)

Do you have a disability? (Y/N)

Are you of Aboriginal or Torres Strait Islander? (Y/N)

Player 4

Full Name

D.O.B (DD/MM/YYYY)

Do you have a disability? (Y/N)

Are you of Aboriginal or Torres Strait Islander? (Y/N)

Player 5

Full Name

D.O.B (DD/MM/YYYY)

Do you have a disability? (Y/N)

Are you of Aboriginal or Torres Strait Islander? (Y/N)

Player 6

Full Name

D.O.B (DD/MM/YYYY)

Do you have a disability? (Y/N)

Are you of Aboriginal or Torres Strait Islander? (Y/N)

Player 7

Full Name

D.O.B (DD/MM/YYYY)

Do you have a disability? (Y/N)

Are you of Aboriginal or Torres Strait Islander? (Y/N)

Player 8

Full Name

D.O.B (DD/MM/YYYY)

Do you have a disability? (Y/N)

Are you of Aboriginal or Torres Strait Islander? (Y/N)

Player 9

Full Name

D.O.B (DD/MM/YYYY)

Do you have a disability? (Y/N)

Are you of Aboriginal or Torres Strait Islander? (Y/N)

Player 10

Full Name

D.O.B (DD/MM/YYYY)

Do you have a disability? (Y/N)

Are you of Aboriginal or Torres Strait Islander? (Y/N)

Player 11

Full Name

D.O.B (DD/MM/YYYY)

Do you have a disability? (Y/N)

Are you of Aboriginal or Torres Strait Islander? (Y/N)

Player 12

Full Name

D.O.B (DD/MM/YYYY)

Do you have a disability? (Y/N)

Are you of Aboriginal or Torres Strait Islander? (Y/N)