New Customer Registration Form

New Player Details:
Parents Name *

First Name Last Name
E-mail
Mobile Phone Number
Child's Name

First Name Last Name
Date of Birth

Day Month Year
Date
School (please specify Primary or High school)
Current Grade/Year Level
Has your child played netball before

Yes No
If yes, we would like to understand their level of experience so that we can identify an appropriate team: Please advise the following:
Current Club and Team
Current Age Group and Division (eg Under 13 Division 2)
School Netball Experience
Rep Netball Experience
Anything else you would like to tell us?
Thanks for your interest in St Anthony's netball club. Once we receive your query we may need to talk to our team managers and coaches to ascertain if there is a vacancy that will suit your child. We aim to let you know as soon as possible whether this is the case.
Should be Empty:

New Player Details: