No Limits Netball | Auckland Netball Centre

#Ref

Sunday 6 December 2020
10:00am - 12:00pm

Auckland Netball
7 Allison Ferguson Drive, St Johns

Participants Name (one form per participant)*

First Last

Participants Age*

Does the participant have any medical conditions?*

Please specify medical conditions below.

Does the participant have any allergies or special requirements that we should be aware of?*

Name of Parent / Guardian*

First Last

Daytime Phone number of Parent / Guardian:*

Email of Parent / Guardian*

Emergency Contact 1 Name:*

First Last

Emergency Contact 1 Phone Number:*

Emergency Contact 1 Relationship to Participant*

Emergency Contact 2 Name:*

First Last

Emergency Contact 2 Phone Number:*

Emergency Contact 2 Relationship to Participant*

By ticking this box, I give permission for the above mentioned child to participate in the Auckland Netball No Limit Netball Open Day*

Auckland Netball has my permission to use any photos taken of my child during the No Limit Open Day to be used for publication and/or promotional purposes only.*

Where did you hear about the No Limits Open Day?*

Website
Email
Instagram
Flyer
Community Noticeboard
Other