Note: All members must fill in the player release form. There will be a separate player release form for those under 18. The club secretary will have these forms for you to fill out on saturdays when we have games or you can print it out and bring it with you. Existing members, you must submit any changes to the player release form to secretary@seattlenetball.com.

 

  Step 1: Please fill in your details below

Personal Details

Full Name *
Date of Birth *
Address *
Phone (Home) *
Phone (Cell) *
E-mail *

Emergency Contact Details

Emergency Contact Name *
Relationship to you *
Phone (Home or Cell) *

Membership Type

Membership Type *	Senior - Full Senior - Casual Junior - Full Junior - Casual Affiliate
Umpiring *	I'd like to umpire I'd like to learn I do not want to umpire

Health and Allergy Information

Condition & Medication

Today's Date (Registration Date) *