Surname: ………………………………….....……………………..…… Given Name/s: …………...………………………………….…………..………….…………………

Address: …………………………………………………………………………..…………….………............………………………………………………………………..…….….

Suburb: .....…………..…..……………….………..………. Postcode: ……............…………

Telephone: Home: ……………………………..…………..……… Work: ……….…..…………………………..…

Mobile: ……………………………….………………….…… Email: ………………..…………….…….………………..…

Occupation: ….………………………………..……………………….……

Date of Birth: ………./……./……….. Player’s Under 16 - Age as at 01/01/Current Registration Year = ..………… years of age.

Y N

Father’s Name: ………………..………………………………………

Father’s occupation: …………………………………….…………

Grade played last season: ……………………………..

Y N

Y N

If you are a Junior player: Mother’s Name: ……………………………….....…

Mother’s occupation: ….………………………………………….…………

Last season played: ………………………………….

If you have played softball for any club other than Redsox Softball Club Inc. within the last 1 year, you will require either a permit, transfer or clearance (if interstate).

This ‘permit/transfer/clearance process’ is different than in previous years. You must inform the Redsox Registrar when signing on.

I require a permit transfer clearance from my old Club. Y N

My Home Association is: ………………………………………………………….. My Club is: …………………………………………………………………

Grade played was: …………………

Page 1

Membership Type: Season:

ARE YOU AVAILABLE FOR TRAINING EACH WEEK:

DO YOU HAVE A GRADE OR TEAM PREFERENCE:

ATTENTION ALL NEW PLAYERS TO REDSOX:

All new players Under 16 years of age by 01/01/ Current Registration Year require a photocopy of "PROOF OF AGE

Preferred Field Postions: (1) ..................................................................(2) ................................................................(3) ...................................................................

Grade if Yes: ..

dd mm yyyy

1.

REDSOX SOFTBALL CLUB INC

PLAYER’S/OFFICIALS MEMBERSHIP FORM -

For Tick Boxes TAB to appropriate box and use the ENTER key or use mouse to enable tick

Ensure thats CAPS LOCK is on except for email addressUse the TAB key to scroll through fields in order. If you have to go back then use the Shift + TAB

Please go to Page 2 and read the Player's/Official's Agreement.Once read, SIGN the Player's/Official's Agreement and then go to Page 3 and fill out the medical form and sign.

.

. Return all 3 pages with your nomination fee (see page 2) back to the Registrar or Treasurer.

.

2.3.

Form InstructionsEmail: redsoxsecretary1976@gmail.com

Form Instructions Cont'd

Copy of Birth Certificate supplied:

REDSOX SOFTBALL CLUB INC. Player's/Official's Agreement

Please read and understand the undertakings listed below before signing your membership form for the current softball season .

I agree that all senior players/officials are expected to umpire when on roster.

I agree that the Redsox Softball Club Inc shirt and correct footwear must be worn while umpiring.

I agree to do my share of rostered duties when requested. e.g. working bees, selling raffle tickets etc.

I agree to attend all games and trainings except for a valid reason, which I will personally convey to the coach, manager or other official atthe earliest possible time.

I agree to play in a higher graded team [no more than 4 times in any one team] if required, to avoid a team forfeit. (Players only) I agree to wear my uniform with dignity and pride - shirts should always be tucked into shorts. The Club cap /visor must be

worn whilst on the diamond (BSA Ground Rule) and are the only acceptable headwear. If I am out of uniform, I accept one [1] warning for my first offence from a team official or Redsox Softball Club Inc. Management Committee member. The second offence will result in my removal from the playing field until the dress code is adhered to. I understand this will then be reported to the Redsox Softball Club Inc. Management Committee.

I agree that any uniform and equipment ordered will not be issued until paid in full.

I understand that as a permit player or club official , I must be financial with Redsox Softball Club Inc. before I am included on the registration form to be submitted to the B.S.A., prior to the commencement of the season.

I understand there will be no guarantee of a position within our Club until all fees are paid in full.

I understand the Sports Injury Insurance (I.E.A.) is included in the deposit and available if any injury occurs during training or in a game, and also that Redsox Softball Club Inc, and any person acting on behalf of that Club, is not responsible for any injury or cost arising from that injury which may result from participation in the above mentioned activities.

I agree to my my son my daughter’s contact details being shared amongst the Redsox Softball Club Inc. Officials and parents.

Y N

I agree to abide by the Codes of Conduct applicable to the level in which I participate within the BSA and I agree to conduct myself and assist others in conducting themselves within these guidelines.

I , ............................................................................................................................... (Given and Surname) have read all of the above undertakings and agree to the conditions as set out by Redsox Softball Club Inc. and understand what is expected of me my child my children

I agree to pay all fees owing by the first fixture game of the season and understand that I will not be eligible to play unless fees are

paid in full. ‘NO PAY - NO PLAY’.

Y N

I HEREBY ATTACH A NON-REFUNDABLE $30 NOMINATION FEE, WHICH IS DEDUCTIBLE FROM MY SEASON’S FEES. This fee covers you for injury insurance during pre-season trainings and games.

I hereby DO DO NOT (please select box) give permission for (insert player’s name here)

……….………………………………………………………………. to have his/her image (photograph) or name being published in

newsletters, newspapers, on any digital media and/or the Redsox Softball Club Inc. website ie., www.redsoxsoftball.com

…………………………………………………………………………

Signature of Player or Parent / Guardian / Carer (if Player/Official is Under 18 years)

I agree to act as an official in an other grade team if required. (Officials only)

Page 2

All players/officials over the age of 18 are required by the Redsox Softball Club Inc to hold a current Blue Card.

Do you have a cuurent Blue Card Y N If you don't please contact the Blue Card Coordinator ASAP

Date: ……/……/..................dd mm ...yyyy

REDSOX SOFTBALL CLUB INC MEDICAL FORM -

In case of an injury at training or on game day, the following information is necessary to help us seek

immediate medical help for you and, in some cases, to contact family members.

Please complete this form and return to the Registrar. The information will then be kept with the Team Manager and only used in case of an emergency.

Number:

Year:

Year:

Medicare Number:

Private Health Provider:

Date of last TETANUS booster:

Date of last HEPATITIS inoculation:

Parent/Guardian/Carer’s Name: (if you are Under18):

Spouse’s Name/Next of Kin’s Name: (if over 18)

Their Telephone Contact/s: H: W: M:

Do you suffer from any of the following? (Please check the appropriate box)

Asthma Y N Other respiratory problems Y NDrug Allergies Y N Other Allergies Y N

Anaesthetic Allergies: - Local Y N

- General Y N Y N

Y NY N

Y N

Medication if YES:

Medication if YES:

Details:

Details:

Medication if YES:

Medication if YES:

Medication if YES:

Medication if YES:

Medication if YES:

Medication if YES:

Diabetes

Epilepsy

Heart Problems

Blood Pressure

Others (please list):

Recent operations/injuries:

Signature: ………………………………………… (Parent/Guardian/Carer’s signature if Player is Under 18)

Thank you for supplying this information.

Should any details change during the season, please contact your Manager as soon as possible.

This form will be destroyed at the end of the season.

Surname: Given Name/s Address: Suburb: PostCode:

Contact No. : M H W

All details will be kept in strict confidence.

Page 3

Date: …./.…/.......,,,. dd mm yyyy