Register User Email * User Password * First Name * Last Name * Mobile Number * Team Name I am a player in one of the Active Netball Leagues I am the parent of a player/umpire I am interested in Umpire courses I am interested in Coaching courses Please select all that apply to you Are you parent/guardian registering your child? *Yes No Child's Full Name If you are registering on behalf of your child/children please complete the remaining sections of this form. Thank You! Child's DOB Child 2 Full Name If you have more than one child who plays netball with us please complete their details Child 2 DOB Child 3 Full Name If you have more than one child who plays netball with us please complete their details Child 3 DOB Please let us know which of the following applies to your child/childrenAttends coaching sessions with Active Netball Plays in one of the Active Netball Leagues Umpires with Active Netball Tick all that apply Please let us know if your child has any medical conditions that we should be aware of Emergency Contact Name Emergency Contact Name Emergency Contact Mobile Number * Emergency Contact Mobile Number Submit
