Indoor Sports SA - 2022 INA Junior Nationals Player Nomination

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2022 INA JUNIOR NATIONALS PLAYERS

Step 1 of 6 - BASIC INFORMATION

16%

Name*
First Last
Date of Birth*
DD slash MM slash YYYY
Guardian's Name
If you're under the age of 18 and we need to grab some details from a parent or guardian.
First Last
Select the teams you wish to nominate and try out for:
12U Girls
- 12U Girls
14U Girls
- 14U Girls
16U Girls
- 16U Girls
16U Mixed
- 16U Mixed
Junior Nomination
I hereby wish to nominate my son/daughter for the 2022 INA Junior Nationals
I have read the eligibility criteria and agree that I will ensure that my son/daughter abides by those conditions.
Nomination
I hereby wish to nominate myself for the 2022 INA Junior Nationals
I have read the eligibility criteria and agree that I will ensure that I abide by those conditions.
Select your Preferred Playing Positions
In order of preference...
First Choice*
Second Choice*
Third Choice*

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Player's Details

Mobile*
Home
Player's Email*
Address*
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
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Emergency Contact

Name*
First Last
Phone*
Relationship to You*
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Health Care Details

Medicare Number*
Private Health Fund
Ambulance Cover*
- Yes
- No
General Practitioner
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COVID-19 Vaccination Status

COVID-19 Vaccination Status
Due to the ongoing nature of the COVID-19 pandemic, the SA Crowns are asking that all our players at National Tournaments be fully vaccinated. For their own safety, and the safety of our player base, and industry at large. We understand that this is a complex issue, and should you wish to discuss this or have any concerns, please feel free to reach out to us via: crowns@issa.org.au
COVID-19 Vaccination Certificate
Drop files here or

Accepted file types: jpg, gif, png, pdf, Max. file size: 256 MB.
Please include a copy of your COVID-19 Vaccination Certificate, or your medical exemption with this form.
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History

Do you suffer from any of the following?
- Asthma
- Diabetes
- Migraines/Headaches
- Allergies
Please select all that apply
What type of inhaler do you use?
Please specify what type of allergies

(food, drugs, medications, etc)
Other Information
Any other relevant medical information?
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Sporting Injuries

Previous Sporting Injuries?
Strapping required before a game?
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Medical Consent*
I give my permission for the SA Crowns to seek appropriate medical attention if I require it.

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Eligibility Confirmation
Have you ever been a registered participant playing in the ISSA Indoor Netball Premier League. Please confirm:
What Grade & Division have you played in INPL?
What INPL Club do you play for?
What superleague franchise do you represent?
What Indoor Sports Centre do you consider to be your "Home Court"?*
Where do you like to play Indoor Sports?
Who is the netball representative at that centre?*

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Check these details are correct before continuing...

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Terms & Conditions of Standing for State Selection
Any player registering to trial for SA Crowns and compete at an INA event must:

1. Are fully financial for both SA Crowns and Indoor Sports South Australia; and

2. Carry no suspensions from the most recent INA tournament at which they were participating, or the 2020 INPL Winter Season or the 2019/2020 INPL Summer Season.

3. Players who do not meet the eligibility criteria may be eligible for selection in extenuating circumstances (such as major injury or pregnancy). Special consideration may be provided by the SA Crowns Committee at their complete discretion and will be assessed on a case by case basis.

4. All players who are eligible for a State Team, who are subsequently selected for the State Team and then withdraw from the team are subject to penalties as applied by the SA Crowns Committee. These penalties are dealt with on a case by case scenario but will range from loss of deposit to total suspension from any SA Crowns / ISSA event for twelve (12) months.

Note: If you are currently not a registered player for ISSA and would like to get involved with Indoor Netball Premier League, please contact Steven McInnes (ISSA Netball Vice President) or Hailie Bordignon (INPL Netball Coordinator). They will be happy to assist with further information on how to get involved this coming season.

On Selection:

1. You will be required to pay a non-refundable deposit of $150.00 to SA Crowns on or before the due date, to secure your position in the team. Failure to do so will mean immediate removal from the State team.

2. You will be required to attend a compulsory induction day which will involve the completion of all tournament paperwork as well as completion of uniform orders.

3. You will be required to attend ALL training sessions as set down by SA Crowns. If for some unforeseeable circumstances you are unable to attend, notification must be made to your coach or manager prior to the training session.

4. If three or more training sessions are missed, you will be asked to show good reason as to why you should not be removed from the team and face further action from the SA Crowns Committee (as above).
Declaration*
By completing this form, you are (player/parent/guardian) stating that you have read and agree to the terms & conditions above set down by SA Crowns.

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2022 INA Junior Nationals Nomination Fee*
Price:
Total Due
A$ 0.00
Credit Card*

American Express
Discover
MasterCard
Visa
Supported Credit Cards: American Express, Discover, MasterCard, Visa
Card Number Expiration Date Security Code Cardholder Name

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