JUNIOR MEMBERSHIP FORM You must contact AP Saints before you complete this form 1 PLAYERS DETAILS 2 PARENTS’/GUARDIANS’ DETAILS 3 EMERGENCY CONTACTS 4 MEMBERSHIP FEES / YEAR GROUPS 5 MEDICAL DETAILS 6 CODE OF CONDUCT FOR PLAYER 7 CODE OF CONDUCT FOR PARENTS/GUARDIANS 8 OTHER CONSENTS 9 EQUALITY MONITORING Players Name* First Last Date of Birth*DD/MM/YYYYSchool Year of your daughter during 2018 -2019 season*School*Players Address* Street Address Address Line 2 City ZIP / Postal Code Players Mobile Numberif applicablePlayers Emailif applicable Parent / Guardian Name First Last Parent / Guardian TelephoneParent / Guardian MobileParent / Guardian Email Emergency Contact 1* First Last Emergency Contact Telephone*Emergency Contact Mobile*Relationship to Player*Emergency Contact 2 First Last Emergency Contact TelephoneEmergency Contact MobileRelationship to Player * I Agree Netball is a contact sport and players may get injured. At AP Saints we take our responsibilities for all of our players very seriously and we request your full cooperation to ensure that we meet those responsibilities in full. For the safety of each member it is essential that the Club retains up to date emergency contact details and an up to date medical record detailing any conditions, self-administered medication or allergies that may be relevant, should a player fall ill or be in an accident whilst under the supervision of the club. No player will be allowed to participate in a training session / match unless we have these details. If emergency contact details or medical requirements / details change please submit these details to the secretary on firstname.lastname@example.org. It is the responsibility of the parent/guardian to ensure that the Club retains up to date medical records and emergency contact details.Records are kept on court for all training sessions and matches and are easily accessible during those times.Should a player be in an accident, an incident form will be completed recording what happened, and what treatment was given ( if applicable). GP Name*Surgery Address* Street Address Address Line 2 City ZIP / Postal Code GP Telephone*Please detail below any important medical information that our coaches should be aware of such as Asthma, Diabetes, Epilepsy, Migraine, Eczema, etc. or N/A Please specify any allergies such as specific food allergies (peanut, shellfish, strawberry, etc), drug allergies, animal fur, insect stings or N/A Does your child have any specific dietary requirements? Please state below or N/A Please specify if your child wears a dental brace or contact lenses, or N/A Is there any other medical information you feel we should know about your child? If so, please specify or N/A Please specify any regular medications indicating name of drug, dosage, times to be administered or N/A Are your daughter’s routine immunisations up to date?* Yes No Is your daughter’s tetanus booster up to date?* Yes No In the event of your child being ill or injured, and should it be considered necessary, please indicate by ticking for YES or untick NO, your consent to administer ‘over the counter’ medications. Travel sickness remedies Cough medicine Antihistamines Paracetamol Ibuprofen Diarrhoea treatment Throat lozenges Applications of creams / lotions / sprays Sticking plaster In the event of an emergency, I agree to my daughter receiving emergency treatment, including anaesthetic, surgery and blood transfusion, as considered necessary by the medical authorities present. I understand that every effort will be made to contact me/us first.* I Agree Disagree I disagree because: Codes of Conduct for Player* I have read and agree to abide by AP Saints’ Codes of Conduct for players. To become a member of AP Saints Netball Club, all players must read and agree to abide by the club's Code of Conduct. Please ensure your daughter reads the Players' Code of Conduct and ticks the box agreeing to abide by them. You will not be able to progress with the registration without doing so. View the Player's Code of ConductUnacceptable Behaviour* I have read and agree to abide by AP Saints’ statement on Unacceptable Behaviour. Please ensure your daughter reads the statement below on Unacceptable Behaviour and ticks the box agreeing to abide by it. You will not be able to progress with this registration without doing so. AP Saints will not tolerate any form of abusive, disrespectful, threatening or aggressive behaviour, including physical, verbal or written, towards its coaches, volunteers or other members of the club. Players or parents/carers that breach this code of conduct will be asked to leave the club. Codes of Conduct for Parents/Guardians* I have read and agree to abide by AP Saints’ Codes of Conduct for parents/ guardians of players. To become a member of AP Saints Netball Club, parents and guardians of junior players must read and agree to abide by the club's Codes of Conduct set out below. You will not be able to progress with this registration without doing so. View the Parent's Code of ConductUnacceptable Behaviour* I have read and agree to abide by AP Saints’ statement on Unacceptable Behaviour. Please ensure you read the statement below on Unacceptable Behaviour and tick the box agreeing to abide by it. You will not be able to progress with this registration without doing so. AP Saints will not tolerate any form of abusive, disrespectful, threatening or aggressive behaviour, including physical, verbal or written, towards its coaches, volunteers or other members of the club. Players or parents/carers that breach this code of conduct will be asked to leave the club. Consent for the Use of Photographs or Video (Parents and Players)* I Agree I Disagree Please read this statement and tick one of the boxes above: AP Saints Netball Club recognises the need to ensure the welfare and safety of all young people in sport. In accordance with our child protection policy we will not permit photographs, video or other images of young people to be taken without the consent of the parents/ carers and children. Please note that AP Saints Netball Club has adopted the practice guidelines issued by England Netball, which means that players are never named in photographs, personal details are never published and we will only authorise the use of photographs of players in suitable dress. A copy of these guidelines is available on the website. AP Saints will take all steps to ensure these images are used solely for the purposes they are intended. If you become aware that these images are being used inappropriately you should inform AP Saints immediately. I hereby grant only AP Saints and their approved agents the right to use the images resulting from the above mentioned photo / film shoots. This includes any reproductions or adaptations of the images for all general purposes (newspaper, magazine or other printed promotional articles and including internet web page content) and at any time, in relation to the work of AP Saints Netball Club.Consent for One Day Tournaments I agree Please tick the box above if you give consent for your daughter to participate in one day tournaments (there will be specific consent forms for tournaments that include overnight stays or group travel by coach or train): AP Saints takes part in many netball tournaments over the season. It is the parent/guardian’s responsibility to update any medical or emergency contact details and alert us to any other information that is relevant to the health and safety of their child. If any of this information changes during the netball season the parent/guardian must inform the club in writing before the next tournament their daughter takes part in, to enable us to update the relevant information. During tournaments, your daughter is representing AP Saints and we expect the highest standard of behaviour both on and off the court. EN rules and AP Saints codes of conduct apply throughout all tournaments. Tournament organisers require that parents/guardians of all participating players give consent for the use of photography at the event. Any AP Saints parents/guardians/players wishing to take photographs at tournaments must register for permission to do so with the event organisers. Your daughter’s registration will not be fully processed until we receive payment of the fees. If you have registered for membership without contacting the club first, we cannot guarantee your daughter a place. Thank you.