How to enrol

By phone

Call (02) 4926 1633 and

have your credit card details

ready (Visa, MasterCard).

By fax

Complete the enrolment

form, include your credit card

details and fax to

(02) 4929 4397

By mail or In person

Complete the enrolment

form, include either your

credit card details, a cheque

or a money order, send or

visit:

Sport and Recreation,

Government Office Block

Ground Floor

117 Bull Street Newcastle

West NSW 2302

By EFT

Contact our office for details

Koori netball tournament Sponsored by Sport and Recreation

Aboriginal communities are invited to take part in this netball tournament to be held at Charlestown Netball Courts The Tournament is aimed at increasing participation of Aboriginal Women in Sport and Recreation in a fun competitive environment

���� There are three divisions:

- Open Women

- Junior Girls, 15 years and below

- Mixed women and men’s teams

Maximum of fourteen players registered per team

Maximum of three non Aboriginal players per team

Details

Dates Friday 28 and Saturday 29 October, 2011

Time Friday 5pm and Saturday 8.30am

Venue Charlestown Netball Complex, Bula Street, Charlestown

Cost $250 (incl. GST) per team

Note Team registrations close Wednesday 26 October, 2011

An Aboriginal womens breakfast will be held on the Saturday morning for all participants of the netball tournament

For more information call (02) 4926 1633 or visit www.dsr.nsw.gov.au

Koori netball tournament Team registration form – 28 to 29 October, 2011

Each player is required to complete the participant information form. For children under the age of 18 they must have a parent/legal guardian to sign the participant information form before being accepted into the competition.

Teams are responsible for their own personal insurance

Drug and alcohol free event

Team Managers are required to attend a briefing at 5:00pm on Friday 28 October in the Charlestown Netball Clubhouse and the draw will be available.

The rules for play shall be those of Netball Australia

All teams must be at the courts by 5pm on Friday 28 October with play to commence at 6pm. On Saturday 29 October, teams are to be at the courts by 8:00am with play to commence at 8:30am

Maximum of 14 players registered per team

Maximum of 3 Non-Aboriginal players per team

This year umpires will be paid at the tournament. If you have an umpire that is not in a team, please complete expression of interest.

NOTE: Number of teams is limited, early payment will ensure your team into the tournament. Team registrations and full payment must be received by the Newcastle Office by Wednesday 26 October.

Team name Division

� Open Women � Juniors � Mixed

As the team manager, I agree that all Team representatives will abide by the conditions of registration attached and Code of Conduct.

Team manager name Signature

Email Address

Address Phone

Postcode

Team members: Please print

1 8

2 9

3 10

4 11

5 12

6 13

7 14

My cheque or money order payable to ’NSW Sport and Recreation’ is enclosed OR charge $ _________ to my credit card: � Visa � Mastercard

���� ���� ���� ���� Expiry date Cardholder name Signature

For more information

call (02) 4926 1633 or visit www.dsr.nsw.gov.au

Team Information

Home Work/Mobile

Surname First name Surname First name

Payment information

/

Condition of Registration

Koori netball tournament 28 to 29 October, 2011

Name Date of birth �Female �Male

Address Phone Post code Email

Do you have any medical conditions, allergies or disabilities that may affect your participation in this program? Please give details.

Team Name

Open women Junior Mixed

To help us serve the community it would be appreciated if you could answer the following questions:

Are you of Aboriginal or Torres Strait Islander descent? �Yes �No How, where and when did you find out about this program?

(for statistical purposes only)

a) I agree to, or I agree for my child/ward to attend the Centre to undertake

all activities and/or to participate in the above program. In the case of an

emergency, I authorise Communities NSW, Sport and Recreation staff,

where it is impracticable to communicate with me, to arrange for me, or my

child/ward, to receive such medical or surgical treatment as may be deemed

necessary. I also undertake to pay or reimburse costs which may be incurred

for medical attention, ambulance transport and drugs while I am

participating, or my child/ward is attending the Centre/enrolled in the

program.

I understand that although Communities NSW, Sport and Recreation and its

service providers attempt to minimise any risk of personal injury within

practical boundaries, accidents do happen and all physical activities carry

the risk of personal injury. I acknowledge that there is an inherent risk of

personal injury in physical activities that will be undertaken at the Centre/as

part of the program and I accept that risk.

b) I consent to allow NSW Government to use my name/my child’s/my

ward’s name and any photographs, sound and film recordings taken of

myself/my child/my ward at this program for the promotion of the

Communities NSW services and initiative to the media and to the general

public. (cross out section B if you do not consent)

c) I agree to, or I agree for my child/ward to abide by the condition of participation and code of conduct

Full Name � Self � Parent � Guardian (please tick) Signature Date

Privacy statement Communities NSW of 6 Figtree Drive, Sydney Olympic Park, NSW 2127 will collect and store the information you provide to enable processing of enrolments for the program. The information will be provided to instructors of the program and their supervisors, where necessary, and you consent to this disclosure. If you have been asked for information regarding Aboriginal and Torres Strait Islander descent and cultural background, this information is voluntary and is being compiled for statistical purposes only. Any information provided by you will be stored on a database that will only be accessed by authorised personnel and is subject to privacy restrictions. The information will only be used for the purpose for which it was collected. Any information provided by you to the department can be accessed by you during standard office hours and updated by writing to us or by contacting us on 13 13 02.

Refunds and cancellations Requests for refunds must be made within seven (7) working days prior to the commencement of the program in which you are enrolled. All requests must be made in writing. All refunds are subject to an administration fee of 20 per cent of the total program fee. Refunds will not be given for partial attendance, nor will make up lessons be provided. Refunds will be paid at the completion of the program. Sport and Recreation reserves the right to cancel any program/s. Every effort will be made to give reasonable notice to those who have enrolled when a program is cancelled. Those enrolled will be given a full refund

Condition of participation (Individual)

Each player is required to complete the participant information form. For children under the age of 18 they must have a parent/legal guardian to sign the participant information form before being accepted into the competition

Drug and Alcohol Free event

The rules for play shall be those of Netball Australia

Players are responsible for own insurance

For more information call (02) 4926 1633 or visit www.dsr.nsw.gov.au

Participant information

/ /

Home Work/Mobile

Optional information

Risk waiver, Media consent and Code of Conduct

/ /

Return this form with payment to:

Sport and Recreation State Government Offices

117 Bull Street, Newcastle West NSW 2302

Fax: (02) 4929 4397

Umpires WANTED Koori netball tournament 2011 28 to 29 October, 2011

Expression of Interest- Umpires

Sport and Recreation is expecting more than 300 Aboriginal netballers to be involved in the October tournament. It is being hosted by the Charlestown Netball Association in partnership with Sport and Recreation across three Divisions: Open Women, Junior Girls and Mixed. This event is in its 12th year, and is open to all Aboriginal people in NSW. Past participants have travelled as far as Dubbo, Sydney, Macleay Valley and Armidale. The Newcastle Koori Netball Tournament will be held on the evening of Friday 28th October, 5pm, and Saturday 24 October, 8.30am, at the Charlestown Netball Courts, Bula Street, Charlestown. Please note: Umpires cannot be a player If you are interested in being paid as a netball umpire at the annual Koori netball tournament, please complete the form below and return to: Ground Floor Sport and Recreation Government Offices 117 Bull St, Newcastle West NSW 2302 or Fax to 02 4929 4397

Return Form: Contact details

Name

Qualification- Badge (please tick)

���� C ���� B ���� A

Days Available Friday Evening ���� Saturday ���� Both Days ����

Address

Phone Mobile

Email

Signature Date

Privacy statement Communities NSW of 6 Figtree Drive, Sydney Olympic Park NSW 2127 will collect and store the information you voluntarily provide to enable processing of enrolments for the program. The information will be provided to instructors and contractors of the program where necessary and you consent to this disclosure. If you have been asked for information regarding Aboriginal and Torres Strait Islander descent and cultural background, this information is voluntary and is being compiled for statistical purposes only. Any information provided by you will be stored on a database that will only be accessed by authorised personnel and is subject to privacy restrictions. The information will only be used for the purpose for which it was collected. Any information provided by you to the department can be accessed by you during standard office hours and updated by writing to us or by contacting us on 13 13 02.

For more information phone (02) 4926 1633

/ /

Code of conduct Koori Netball Tournament 2011

Venue: Charlestown Netball Courts Bula Street, Charlestown Playing Days: Friday 28 October and Saturday 29 October

Code of Conduct Official

• I will place the safety and welfare of players above all else • I will show concern and caution towards sick and injured players • I will give all players a ‘fair go’ regardless of their gender, ability, cultural background or religion • I will be impartial, consistent, objective and courteous when making decisions • I will accept responsibility for my actions and decisions • I will condemn unsporting behaviour and promote respect for the individuality of players • I will avoid any situations which may lead to or be construed as a conflict of interest • I will be a positive role model in behaviour and personal appearance and ensure my comments are positive and

supportive • I will be a good sport as I understand that actions speak louder than words • I will always respect, remain loyal to and support other officials • I will keep up to date with the latest ‘Laws of the Game’, trends and principles of their application • I will refrain from any form of personal abuse towards players or other officials • I will refrain from any form of sexual harassment towards players or other officials • I will not arrive at the venue intoxicated or drink alcohol • I will respect the rights, dignity and worth of all people involved in the game, regardless of their gender, ability or cultural

background. Player • I will always play by the rules • I will never argue with an official. If I disagree with a decision I will inform the captain, coach or manager during a break

or after the competition • I will control my temper. I understand that verbal abuse of officials and sledging other players and deliberately

distracting or provoking an opponent are not acceptable or permitted behaviours in any sport • I will work equally hard for myself and/or my team • I will be a good sport and applaud all good plays whether they are made by my team or the opposition • I will treat all players in my sport as I like to be treated. I will not bully or take unfair advantage of another competitor • I will cooperate with my coach, team mates and opponents • I will display modesty in victory and graciousness in defeat • I will participate for my own enjoyment and benefit, not just to please parents and coaches • I will respect the rights, dignity and worth of all participants regardless of their gender, ability, cultural background or

religion • I will thank the opposition and officials at the end of the game • I will not arrive at the venue intoxicated or drink alcohol • I will comply with anti-doping policies.

Parent

• I won’t pressure my child in any way – I know that this is their game not mine • I will not use bad language, nor will I harass players, coaches, officials or other spectators • I will encourage my child to play within the rules and respect officials’ and coaches’ decisions – no matter what • I will teach my child to respect the efforts of their opponents • I will remember that children learn best by example so I will applaud good plays/performances by both my child’s team

and their opponents • I will give positive comments that motivate and encourage continued effort • I will focus on my child’s efforts and performance – not the score • I will thank the coaches, officials and other volunteers who give their time to conduct the event for my child • I will help when asked by a coach or official • I won’t criticise or ridicule my child’s performance after the game • I will not arrive at the venue intoxicated or drink alcohol • I will respect the rights, dignity and worth of all people involved in the game, regardless of their gender, ability or cultural

background.