ACU Ballarat Netball Club

ACU Ballarat Netball Club Registration Form 2026

About

Hi there,

Thank you for your interest in the ACU Ballarat Netball Club. Our club welcomes members of all skill levels to join our social and competitive teams. Please direct any questions to: amhobbs@acu.edu.au

First name *

Last name *

Email address *

Additional instructions for the previous question. If you are a student, please enter your ACU email address

Student number *

Additional instructions for the previous question. If you are a non-student/community member please write N/A

Mobile number *

Date of birth *

Gender *

Do you identify as Aboriginal or Torres Strait Islander? *

Yes

What is your membership type? *

ACU Student

ACU Alumni

Non-student /community member

Playing information

I am: *

A returning player

New to the club

Which competition would you like to join? *

Wednesday evening ACU competition (Mixed)

Other preferences (type below)

Comments:

Tell us about your playing experience *

I have never played it before and want to give it a go!

I play socially and want to have fun

I play competitively and want to develop my skills

I am an elite athlete (EAPP)

What are your preferred playing position/s? *

Would you like to enter as a team or would you like to enter individually and be allocated to a team? *

Team

Individually

Additional instructions for the previous question. If you have chosen to enter as a team please list the names of the people you would like to be in a team with.

Comments:

Would you be interested in representing ACU at the following events?

Intervarsity events

UniSport Nationals

Intracampus events

Netball Victoria Registration Number

Additional instructions for the previous question. If unknown, write N/A

Medical information

This information is required for insurance, should you sustain an injury during club activities

Emergency Contact Name *

Emergency Contact Number *

Emergency Contact Relationship (i.e mother, friend etc) *

Please list any injuries you may have had (within last 12 months) *

Additional instructions for the previous question. If you have not been injured, please write N/A

Please list any medications you are taking *

Additional instructions for the previous question. If you are not taking any medications, please write N/A

Please list any allergies and/or dietary requirements you may have *

Additional instructions for the previous question. If you do not have any allergies or dietary requirements, please write N/A

Do you have Private Health Insurance?

Yes (please state insurance provider below)

Comments:

ACU Sport Terms & Conditions

Do you have any questions for the club?

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