Trial Details

Registration Cost
$15.00 AUD

Location

Pinks Reserve
123E Liverpool Rd
Kilsyth

PLEASE NOTE: Trials will be commencing at 3:00pm SHARP so allow time for arrival, registration, strapping and filling of drink bottles.

Registrations Close
04/09/26 11:59PM

Dates
06/09/26: 3:00pm to 5:00pm

Additional Information

Please refer to our website for important information including eligibility. (Copy & paste link)
https://chisholmnetball.com/selection-policy/

Player Details

First Name:

Last Name:

Address

Suburb

Postcode

Phone Number

Email Address

Date Of Birth

Position One Select your preference GS GA WA C WD GD GK

Position Two Select your preference GS GA WA C WD GD GK

Parent's Name

Parent's Number

Parent's Email

Additional Information

Which Association within the Chisholm Netball Region do you play for? (Ariels, Boroondara, Manningham, MENA, Whitehorse)

Do you have ambulance cover?

Existing medical conditions / injuries / allergies (non-food)

Dietary requirements / food allergies

PHOTOGRAPHY: I consent to photo or video of me being taken throughout the trial, training and tournament process and to the images being published on, publicity, advertising, social media or website platforms. (YES / NO)

CONSENT: I understand that the game will be played under the rules as set by Netball Australia. I also understand that netball is a limited contact sport and that there is a risk of injury involved in participating. I authorise any official from Chisholm Netball, in the event of any injury or illness, to obtain on my behalf and at my expense any medical assistance, treatment and transportation as deemed necessary. (YES / NO)

INDEMNITY: Except where provided or required by law and such cannot be excluded, I agree that Chisholm Netball and its respective directors, officers, members, servants or agents are absolved from all liability, however arising, from injury or damage to me, however caused, whilst participating in the game. (YES / NO)

PLAYER CODE OF CONDUCT: I, as a player representing Chisholm, will adhere to all Netball Australia and Netball Victoria policies, including the Netball Australia Code of Conduct, I understand what is expected of me and my obligations, and accept the ramifications if any breaches occur. (YES / NO)

PARENT/CAREGIVER CODE OF CONDUCT: I, as a parent/caregiver of a player representing Chisholm, will adhere to all Netball Australia and Netball Victoria policies, including the Netball Australia Code of Conduct, I understand what is expected of me and my obligations, and accept the ramifications if any breaches occur. (YES / NO)

I am available to compete in the 2027 Netball Victoria State Titles in Bendigo from the 6th-8th March 2027, travelling up to Bendigo on the afternoon of 5th March. (YES / NO)

I understand I am required to attend all training sessions (YES / NO)

I understand I am required to purchase a Chisholm training shirt and hoodie (YES / NO)

I understand I am required to hire the Chisholm playing dress, returning it after the tournament (YES / NO)

I agree to pay any monies levied by the Chisholm Netball Region (YES / NO)

I agree to abide by the rules laid down by the Chisholm Netball Region and Netball Victoria (YES / NO)

I have read and understand the Chisholm Netball Region Selection Policy - link provided in information at top of page (YES / NO)

PLAYER: I have read, understood and agree to the above terms and I warrant that all information provided is true and correct. (PLAYER NAME)

PARENT / LEGAL GUARDIAN (if player under 18): I have read, understood and agree to the above terms and I warrant that all information provided is true and correct. (PARENT NAME)

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