South Adelaide Membership Form

Juniors Winter Season Membership Form

South Adelaide Volleyball Club
Players Name*

First NameLast Name
Date of Birth*
01/01/1990
Type a question

MaleFemaleNon-binaryOtherPrefer not to say
I acknowledge that a deposit of $100 must be paid to the South Adelaide Volleyball Club by Thursday 14th of March in order to be eligible for team selection (the deposit contributes to total season fees).*

Yes
Do you already have an SAVC juniors playing shirt? (a navy one from 2024).*
If you answered YES to the question above, please enter your playing shirt number.
What is the most recent division/competition you played in? (e.g. U17 Girls Div 1)
If you have not entered club volleyball before, please write NEW PLAYER
Which age division trial will you be attending?*

U15 boys + girls (born 2010 and later)U17/19 girlsU17/19 boys
Parent/Guardian 1 - Name*

First NameLast Name
Parent/Guardian 1 - Phone Number*
Parent/Guardian Email*
example@example.com
Parent/Guardian 2 - Name

First NameLast Name
Parent/Guardian 2 - Phone Number
Players Phone Number*
Is your Parent or Guardian interested in becoming a Coach? (If a parent commits to coaching a team for trainings and games, the match and training fees of one child will be free).*

YesNoWith a little more info, maybe!
Medical History*
Details of any medical conditions
Do you consent to images of your child being used for marketing and promotional purposes (e.g. flyers, website and social media)?*

YesNo
VSA Membership No.*
You must be registered with VSA to play. You can register/renew here https://www.volleyballsa.com.au/membership
Emergency contact - name*

First NameLast Name
Emergency contact - Phone Number*
Bank details - $100 deposit
- BSB: 105-010
- Account number: 07659 6440
- Reference: players first and last name
Cash payments can be arranged - please reach out to Tarn (Junior Coordinator) at trials.

For all other fee enquiries, please contact our treasurer Vanessa via treasurer.savcpanthers@gmail.com

By pressing the SUBMIT button you and your Parent/Guardian agree to abide by the SAVC Handbook. A copy of the Handbook can be found here.
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Juniors Winter Season Membership Form