2024 Rep Player Registration - Under 12 Girls

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2024 Rep Player Registration - Under 12 Girls The U12 Girls Southern Cross will take place from Sunday 4th August 2024 at Downey Park, Brisbane.

Clyde Park, 564 Boundary St, Glenvale QLD 4350, Australia

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Basic details

First name*

Last name*

Phone number*

Email address*

Address*

Additional information

Which team have you been selected to play in?*

Emergency Contact Name*

Emergency Contact - Relationship to you*

Emergency Contact - Contact details (email and mobile)* Max. 255 characters

Player Immunisation History* Max. 255 characters

Do you suffer from Allergies? If so please list here.* Max. 255 characters

Do you suffer from Asthma?*

Please provide details of any dietary requirements Max. 255 characters

Do you have any religious beliefs which will affect the administering of medical or emergency attention?

Family Doctor - Name & Contact details* Max. 255 characters

Medicare Number*

Name of Health Insurance Fund (if applicable)

I hereby authorise the obtaining of any medical assistance for myself/my son/my daughter in the event of an accident or illness*

Please provide any further medical information or requirements that would assist THA in meeting the needs of the player Max. 255 characters

Please note

A Booking fee of $40.00 applies for this event.

Terms Of Registration

By completing this registration the Player agrees to abide by the THA Player Contract as follows:

1. PLAYER OBLIGATIONS

The player shall:

1.1 Play in any hockey game at the championships in which the team participates for which he/she is selected.

1.2 Punctually attend all training sessions, meetings or other events required by the team administration (coach, manager, assistant coach or other Toowoomba Hockey Association appointed persons).

1.3 Submit to physical examination and fitness tests when required by the team administration.

1.4 Carry out to the best of the player's ability all directions and instructions given by the team administration.

1.5 Do all things necessary to maintain good physical condition and play to the best of his/her ability at all times.

1.6 All players should abide by the THA’s injury management statement and alcohol, tobacco and illicit drugs policy. A zero tolerance policy towards the consumption of alcohol, tobacco and illicit drugs will be enforced.

1.7 Conduct himself/herself with decorum at all times while a member of the team and not do anything which may prejudice the best interest of THA or the team or are in contravention of the THA’s Player Code of Behaviour.

1.8 The player agrees to pay all travel, accommodation, uniform and other costs levied on the player to enable participation in the championships 7 days prior to departure.

1.9 Should payment not be made 7 days prior to departure for state championships a $50 administrative fee will apply and the player will not be permitted to attend championship.

1.10 Player will behave in a manner that respects the rights of others regardless of the mediums of communication used e.g.digital mediums such as Twitter, Facebook, Snap Chat, emails and texts.

1.11 Player will not bring the association in to disrepute by use of the above mentioned (refer 2.10) mediums of communication.

1.12 When a guest at motels, colleges, dormitories etc, the player will notify the team official if there is any damages on arrival or incurred during the stay.

1.13 Player must keep his room tidy and help team official’s with chores when requested.

1.14 Player will not leave accommodation area without prior permission from the team manager.

1.15 Player acknowledges while attempts shall be made to provide them with equal game time, it is in some events not possible.

1.16 Player must never argue with Umpire or Technical Official’s decisions.

2. DISCIPLINE

2.1 In the event that a player is in breach of this contract then the THA or the team administration may take disciplinary action.

2.2 Disciplinary action may include:

a) Dismissal from the team;

b) Suspension from the team;

c) Exclusion from participating in future teams;

d) Any other action which the team administration or the THA considers reasonable.

I confirm that I have read the above Terms Of Registration in its entirety.*

I agree to the Terms Of Registration.*

I am over 18, or, if I am under 18, this registration has been filled out by and endorsed by my parent or guardian.*

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