Club Affiliation Form

Club Affiliation Form
This form is to make an application to the Secretary of the Ipswich Netball Association Inc. for the said club and it's members to become full members of your association for the period of the 2025 season.
Club Name*
Club Incorporation Number
Club Website
Club Social Media
Facebook
Club Email*
example@example.com
Phone Number*
Date of the Club's AGM

MonthDayYear
Club Uniform*

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Office Bearers

As a club executive member mentioned (in 1. Club details) below, I consent to my personal details being made public to all association management and affiliated clubs. INA Inc. uses your personal information for purposes associated with the administration of the clubs and associated programs, and to keep you informed of activities and events associated with the clubs and program. We do not disclose your personal details to third parties.
President *

First NameLast Name
Email*
example@example.com
Phone Number*
Vice President

First NameLast Name
Email
example@example.com
Phone Number
Secretary*

First NameLast Name
Email*
example@example.com
Phone Number*
Treasurer*

First NameLast Name
Email*
example@example.com
Phone Number
Coaching Convenor*

First NameLast Name
Email*
example@example.com
Phone Number
Umpiring Convenor*

First NameLast Name
Email*
example@example.com
Phone Number
The club is compliant with the Office of Fair Trading for the trading year?*
The Club is financial and able to meet all debts within the upcoming trading year?*
The Club has a current Blue Card & Volunteer Register?*
The Club has current updated policies in place, accessible to all members?*
The Club agrees to the fee of $5.50 being charged on the first invoice for the year?*
1. We accept the jurisdiction, which shall extend to and be acknowledged by all affiliated teams and clubs of the Ipswich Netball Association Inc. The Management Committee shall have the power to refuse the registration of any club, team or member thereof as per the Constitution.
2. If accepted to membership of the Ipswich Netball Association Inc., we pledge ourselves to uphold and keep in all sincere good faith, and do everything in our power to further the objects and aims of the Association, as set forth in the Constitution and Rules.
3. We declare that we are not a member of any other Netball Association having objects and aims in any way opposed to the Ipswich Netball Association Inc.
4. We accept that it is compulsory for Clubs to supply two (2) delegates to attend the delegates meetings.
5. We accept to abide by the Ipswich Netball Association Codes of Conduct and to act repectfully when dealng with volunteers from Ipswich Netball Association.
6. We accpect to abide by all of Ipswich Netball Assocation Polies, Proedures and Guidelines.
7. The Ipswich Netball Association Inc. will not be held responsible for any injuries incurred by players, umpires, officials or spectators whilst on Association Grounds or whilst representing the Association at State or Inter-Association Carnivals.
8. Current Audit report for the affiliating club is submitted with this application.
Audit Report

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Name Person Lodging Form*

First NameLast Name
Position on Committee*
Phone Number*
Delegates Attending INA AGM

Please provide the two voting delegates names that will be attending the INA AGM.
Name*

First NameLast Name
Name*

First NameLast Name
Should be Empty:

Club Affiliation Form

Office Bearers

Delegates Attending INA AGM